| Ssss | |
|
902 Pecan St Nashville GA 31639-1220 | |
| (229) 507-4701 | |
| Not Available |
| Full Name | Ssss |
|---|---|
| Speciality | Clinic/center |
| Location | 902 Pecan St, Nashville, Georgia |
| Authorized Official Name and Position | F S (OFFICE MANAGER) |
| Authorized Official Contact | 2295074701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssss 902 Pecan St Nashville GA 31639-1220 Ph: (229) 507-4701 | Ssss 902 Pecan St Nashville GA 31639-1220 Ph: (229) 507-4701 |
| NPI Number | 1922557792 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922557792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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