Community Service Board Of Middle Georgia

NPI 1053445122 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053445122
Enumeration Date 03/14/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT KEITH ROBERT
Position CFO
Phone (478) 374-6835
Fax
Practice Location
105 MEDICAL CENTER DR
EASTMAN GA, 31023, US
Phone (478) 374-6835
Fax
Business Location
2121A BELLEVUE RD
DUBLIN GA, 31021-2998, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Community Service Board Of Middle Georgia NPI is 1053445122, taxonomy code is 251S00000X Community Service Board Of Middle Georgia physically located at 105 Medical Center Dr, Eastman GA, 31023. NPI Number 1033115704 has the healthcare provider type.

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1053445122 NPI number is provided on an as is basis without warranty of any kind. 1053445122 is maintained by the National Plan & Provider Enumeration System. The contents of Community Service Board Of Middle Georgia are for informational purposes only.