| |
713 Andrews Dr Thomaston GA 30286-4524 | |
(770) 358-5252 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 713 Andrews Dr, Thomaston, Georgia |
Authorized Official Name and Position | Shari Thomas (CFO) |
Authorized Official Contact | 7703588254 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1435 N Expressway Suite 301 Griffin GA 30223-9016 Ph: (770) 358-8250 | 713 Andrews Dr Thomaston GA 30286-4524 Ph: (770) 358-5252 |
NPI Number | 1265600100 |
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Provider Enumeration Date | 02/13/2008 |
Last Update Date | 12/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265600100 | NPI | - | NPPES |
000601609K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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