| Underdue Social Services | |
|
165 Burke St Suite 109 Stockbridge GA 30281-3463 | |
| (770) 389-9886 | |
| Not Available |
| Full Name | Underdue Social Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 Burke St, Stockbridge, Georgia |
| Authorized Official Name and Position | Kimberly Underdue (CEO) |
| Authorized Official Contact | 7703899886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Underdue Social Services 1071 Laurel Ridge Dr Mcdonough GA 30252-8432 Ph: (678) 851-9509 | Underdue Social Services 165 Burke St Suite 109 Stockbridge GA 30281-3463 Ph: (770) 389-9886 |
| NPI Number | 1871634824 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871634824 | NPI | - | NPPES |
| 10048022 | Other | GA | AMERIGROUP |
| 205814758A | Other | GA | CENPATICO |
| 205814758A | Medicaid | GA | |
| 833744000 | Other | GA | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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