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210 S 13th St Griffin GA 30224-2704 | |
| (678) 760-5365 | |
| (866) 217-7073 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 210 S 13th St, Griffin, Georgia |
| Authorized Official Name and Position | Aaron Roquemore (OWNER) |
| Authorized Official Contact | 6787605365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
748 Highway 36 E Barnesville GA 30204-3248 Ph: (678) 760-5365 | 210 S 13th St Griffin GA 30224-2704 Ph: (678) 760-5365 |
| NPI Number | 1174071666 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174071666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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