Organization
GEORGIA MOUNTAIN COMMUNITY SVS
Active
Other names
AVITA COMMUNITY PARTNERS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MILLER (BILLING SPECIALIST)
(678) 513-5736
Entity
Organization
Contact information
Practice address
1161 OLD CARNES CREEK RD, TOCCOA, GA 30577-7210
(706) 894-3700
(706) 894-3714
Mailing address
4331 THURMOND TANNER PARKWAY, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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