Organization
ANOTHER ALTERNATIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY WARREN (DIRECTOR)
(770) 306-5010
Entity
Organization
Contact information
Practice address
1134 SENOIA RD STE A3, TYRONE, GA 30290-1622
(770) 306-5010
(770) 306-5001
Mailing address
115 REDFIELD TRCE, FAYETTEVILLE, GA 30214-5715
(770) 306-5010
(770) 306-5001
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000744664A
—
GA
Enumeration date
04/26/2021
Last updated
04/26/2021
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