Southwest Community Clinic | |
400 S Pinetree Blvd Thomasville GA 31792-7128 | |
(229) 227-2990 | |
(229) 225-4052 |
Full Name | Southwest Community Clinic |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 400 S Pinetree Blvd, Thomasville, Georgia |
Authorized Official Name and Position | Holly M Crowley (MEDICAL DIRECTOR) |
Authorized Official Contact | 2292272990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southwest Community Clinic 400 S Pinetree Blvd Thomasville GA 31792-7128 Ph: (229) 227-2990 | Southwest Community Clinic 400 S Pinetree Blvd Thomasville GA 31792-7128 Ph: (229) 227-2990 |
NPI Number | 1174942684 |
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Provider Enumeration Date | 04/11/2014 |
Last Update Date | 04/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174942684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 51452 (Georgia) | Primary |
208D00000X | General Practice | 30647 (Georgia) | Secondary |
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