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Organization
SCULPTING CHOICES LLC
Active
Organization
SCULPTING CHOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAMAINE RENALDO BLASH (MANAGER)
(478) 777-0729
Entity
Organization
Contact information
Practice address
159 STEVEN DRIVE, 204 BUILDING 1, MACON, GA 31210
(478) 777-0729
Mailing address
159 STEVEN DRIVE, 204 BUILDING 1, MACON, GA 31210
(478) 777-0729
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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