Organization
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Active
Other names
Eastman Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEITH MORAN (CFO)
(478) 272-1190
Entity
Organization
Contact information
Practice address
621 PLAZA AVE, EASTMAN, GA 31023-6753
(478) 448-1040
Mailing address
621 PLAZA AVE, EASTMAN, GA 31023-6753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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