| Graciously Clean | |
|
3407 Julia Ave Augusta GA 30906-4811 | |
| (706) 619-0449 | |
| Not Available |
| Full Name | Graciously Clean |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3407 Julia Ave, Augusta, Georgia |
| Authorized Official Name and Position | Madison Cherry (ADMINISTRATION) |
| Authorized Official Contact | 7066190448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graciously Clean 3407 Julia Ave Augusta GA 30906-4811 Ph: (706) 619-0449 | Graciously Clean 3407 Julia Ave Augusta GA 30906-4811 Ph: (706) 619-0449 |
| NPI Number | 1619718236 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619718236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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