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Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Active
Other names
RIVER EDGE BEHAVIORAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LAYMAN RPH (PHCY DIRECTOR/PIC)
(478) 803-7650
Entity
Organization
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7696
(478) 746-5864
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7696
(478) 746-5864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005543
GA
Other
Enumeration date
09/06/2006
Last updated
01/17/2017
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