Organization
EVERGREEN GERIATRIC CARE MANAGEMENT, LLC
Active
Other names
Eve Pearson, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVE WILLIAMS PEARSON LCSW, C-ASWCM (OWNER/THERAPIST)
(706) 288-5428
Entity
Organization
Contact information
Practice address
1521 STOVALL ST, AUGUSTA, GA 30904-6215
(706) 288-5428
Mailing address
1521 STOVALL ST, AUGUSTA, GA 30904-6215
(706) 288-5428
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
CSW004126
GA
302R00000X
Health Maintenance Organization
Primary
CSW004126
GA
305R00000X
Preferred Provider Organization
CSW004126
GA
305S00000X
Point of Service
CSW004126
GA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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