Southern Crescent Sexual Assault Center, Inc. | |
2 W Main St Hampton GA 30228-2187 | |
(770) 507-7772 | |
Not Available |
Full Name | Southern Crescent Sexual Assault Center, Inc. |
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Speciality | Clinic/center |
Location | 2 W Main St, Hampton, Georgia |
Authorized Official Name and Position | Gayla L Nobles (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7705077772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Crescent Sexual Assault Center, Inc. 2 W Main St Hampton GA 30228-2187 Ph: (770) 507-7772 | Southern Crescent Sexual Assault Center, Inc. 2 W Main St Hampton GA 30228-2187 Ph: (770) 507-7772 |
NPI Number | 1477129377 |
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Provider Enumeration Date | 06/01/2021 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
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1477129377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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