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375 A City Circle Rd Baxley GA 31513 | |
| (912) 367-2000 | |
| (912) 367-4112 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 375 A City Circle Rd, Baxley, Georgia |
| Authorized Official Name and Position | Ernest Buford Kesler (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 9123672000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
375 A City Circle Rd Baxley GA 31513 Ph: (912) 367-2000 | 375 A City Circle Rd Baxley GA 31513 Ph: (912) 367-2000 |
| NPI Number | 1861529190 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861529190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY000453 (Georgia) | Primary |
Appling Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 S Main St, Baxley, GA 31513 Phone: 912-367-4614 Fax: 912-367-9048 | |
Stepping Stones Therapeutic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Thomas St, Baxley, GA 31513 Phone: 912-278-0551 Fax: 912-208-4100 |