Organization
COMMUNITY CHRISTIAN COUNCIL OF HARALSON COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY DANEIL BUSH PHARMD (EXECUTIVE DIRECTOR)
(770) 328-8360
Entity
Organization
Contact information
Practice address
734 BOWDON ST, TALLAPOOSA, GA 30176-1043
(770) 328-8360
Mailing address
PO BOX 815, TALLAPOOSA, GA 30176-0815
(770) 328-8360
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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