Department Of Behavioral Health & Developmental Disabilities, Ga

NPI 1174942684 - General Practice - 208D00000X

NPI Details
NPI 1174942684
Enumeration Date 04/11/2014
Last Updated 04/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HOLLY M HOLLY
Position MEDICAL DIRECTOR
Phone (229) 227-2990
Fax (229) 225-4052
Practice Location
400 S PINETREE BLVD
THOMASVILLE GA, 31792-7128, US
Phone (229) 227-2990
Fax (229) 225-4052
Business Location
400 S PINETREE BLVD
THOMASVILLE GA, 31792-7128, US
Phone (229) 227-2990
Fax (229) 225-4052
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 30647
Remove 1174942684 NPI Number
 

According to our database, Department Of Behavioral Health & Developmental Disabilities, Ga NPI is 1174942684, taxonomy code is 208D00000X and license number is 30647, license state is located at Georgia. Department Of Behavioral Health & Developmental Disabilities, Ga physically located at 400 S Pinetree Blvd, Thomasville GA, 31792-7128. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174942684 NPI number is provided on an as is basis without warranty of any kind. 1174942684 is maintained by the National Plan & Provider Enumeration System. The contents of Department Of Behavioral Health & Developmental Disabilities, Ga are for informational purposes only.