| Solvent Llc | |
|
104 Brandon Way Byron GA 31008-5433 | |
| (478) 283-6805 | |
| Not Available |
| Full Name | Solvent Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 104 Brandon Way, Byron, Georgia |
| Authorized Official Name and Position | Melandy Jones (NURSE PRACTITIONER) |
| Authorized Official Contact | 4782836805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solvent Llc 104 Brandon Way Byron GA 31008-5433 Ph: (478) 283-6805 | Solvent Llc 104 Brandon Way Byron GA 31008-5433 Ph: (478) 283-6805 |
| NPI Number | 1508494519 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 03/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508494519 | NPI | - | NPPES |
| 1245871250 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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