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2879 15th St Hinesville GA 31313-8109 | |
| (912) 599-4740 | |
| (912) 599-4740 |
| Full Name | |
|---|---|
| Speciality | Psychoanalyst |
| Location | 2879 15th St, Hinesville, Georgia |
| Authorized Official Name and Position | Troy Foskey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9125994740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2879 15th St Hinesville GA 31313-8109 Ph: (912) 599-4740 | 2879 15th St Hinesville GA 31313-8109 Ph: (912) 599-4740 |
| NPI Number | 1245744796 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744796 | NPI | - | NPPES |
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