Organization
LANIER TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADWELL RUSTIN MCALISTER II MD (PROVIDER)
(770) 503-7721
Entity
Organization
Contact information
Practice address
592 MEDICAL PARK DR STE A, GAINESVILLE, GA 30501-2055
(770) 503-7721
Mailing address
592 MEDICAL PARK DR STE A, GAINESVILLE, GA 30501-2055
(770) 503-7721
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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