Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN A. WINDLEY MSW (SOCIAL WORKER)
(706) 733-0188
Entity
Organization
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
402 BRANDYWINE DR, EVANS, GA 30809-7032
(706) 650-1044
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
CSW003441
GA
Other
Enumeration date
09/12/2006
Last updated
01/29/2009
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