Organization
TRUECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN ELIHU AKRIDGE (PRESIDENT/CEO)
(229) 985-4721
Entity
Organization
Contact information
Practice address
1836 S MAIN ST, MOULTRIE, GA 31768-5861
(229) 985-4721
Mailing address
1836 S MAIN ST, MOULTRIE, GA 31768-5861
(229) 985-4721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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