Organization
METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GARDNER LMFT (CLINICAL DIRECTOR)
(478) 464-3025
Entity
Organization
Contact information
Practice address
304 PIERCE AVENUE, MACON, GA 31204
(478) 464-3025
(478) 742-3405
Mailing address
304 PIERCE AVE, MACON, GA 31204-2422
(478) 464-3025
(478) 742-3405
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
GA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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