|
| |
|
437 W Parker St Baxley GA 31513-0605 | |
| (912) 705-0858 | |
| (912) 705-6423 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 437 W Parker St, Baxley, Georgia |
| Authorized Official Name and Position | Shea Hutchinson (PRACTICE MANAGER) |
| Authorized Official Contact | 9122863208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
437 W Parker St Baxley GA 31513-0605 Ph: (912) 705-0858 | 437 W Parker St Baxley GA 31513-0605 Ph: (912) 705-0858 |
| NPI Number | 1578093712 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578093712 | NPI | - | NPPES |
| 1073902938 | Other | NPPES | |
| 003189544A | Medicaid | GA |
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 | |