Organization
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA
Active
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITITES, GA
Other names
Southwest Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITITES, GA
Authorized official
DR. HOLLY M CROWLEY MD (MEDICAL DIRECTOR)
(229) 227-2990
Entity
Organization
Contact information
Practice address
400 S PINETREE BLVD, THOMASVILLE, GA 31792-7128
(229) 227-2990
(229) 225-4052
Mailing address
400 S PINETREE BLVD, THOMASVILLE, GA 31792-7128
(229) 227-2990
(229) 225-4052
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
51452
GA
208D00000X
General Practice Physician
30647
GA
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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