Organization
HUNTER RODGERS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERNELL R THACKER (CEO)
(470) 210-2471
Entity
Organization
Contact information
Practice address
3235 SATELLITE BLVD STE 300, DULUTH, GA 30096-8688
(470) 210-0471
(470) 648-4756
Mailing address
3300 WINDFLOWER WAY, LAWRENCEVILLE, GA 30044-4867
(470) 210-2471
(470) 648-4756
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
08/18/2023
Last updated
08/28/2023
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