| Viaduct Health | |
|
230 S Jackson St Ste 219 Albany GA 31701-2888 | |
| (470) 834-1889 | |
| Not Available |
| Full Name | Viaduct Health |
|---|---|
| Speciality | Social Worker |
| Location | 230 S Jackson St Ste 219, Albany, Georgia |
| Authorized Official Name and Position | Darryl Lamar Brooks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2298941980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viaduct Health Po Box 6165 Albany GA 31706-6165 Ph: (229) 894-1980 | Viaduct Health 230 S Jackson St Ste 219 Albany GA 31701-2888 Ph: (470) 834-1889 |
| NPI Number | 1962177964 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 3870983935 |
|---|---|
| Medicare Enrollment ID | O20240311003116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962177964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darryl Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346761269 PECOS PAC ID: 6002206166 Enrollment ID: I20240311003332 |
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