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Organization
BELAIR AT MACON
Active
Organization
BELAIR AT MACON
Active
Other names
Goldstar Medical Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANKAAT SANJEEV (OWNER)
(478) 447-0392
Entity
Organization
Contact information
Practice address
4901 HARRISON RD., MACON, GA 31206-4135
(478) 476-9970
(478) 476-4633
Mailing address
4901 HARRISON RD., MACON, GA 31206-4135
(478) 476-9970
(478) 476-4633
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
011-03-008-1
GA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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