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Organization

CSB OF MIDDLE GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATSY H THOMAS (EXECUTIVE DIRECTOR)
(478) 272-1190
Entity
Organization

Contact information

Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
079401
GA

Other

Enumeration date
10/08/2010
Last updated
10/08/2010
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