Organization
CREATIVE CARE CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN M WAITS (BUSINESS MANAGER)
(770) 478-6091
Entity
Organization
Contact information
Practice address
1943 SAYBROOK CT, JONESBORO, GA 30236-2681
(770) 478-6091
(770) 478-6875
Mailing address
1943 SAYBROOK CT, JONESBORO, GA 30236-2681
(770) 478-6091
(770) 478-6875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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