| Sjbm Enterprises Llc | |
|
15 Lagrange St Ste C Newnan GA 30263-2693 | |
| (770) 328-2731 | |
| Not Available |
| Full Name | Sjbm Enterprises Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15 Lagrange St Ste C, Newnan, Georgia |
| Authorized Official Name and Position | Stefanie Moore (OWNER/ PROVIDER) |
| Authorized Official Contact | 7703280490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjbm Enterprises Llc 147 Hunterian Pl Newnan GA 30265-5619 Ph: (770) 328-2731 | Sjbm Enterprises Llc 15 Lagrange St Ste C Newnan GA 30263-2693 Ph: (770) 328-2731 |
| NPI Number | 1427715747 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427715747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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