Organization
EVOLVE MANAGED CARE SOLUTIONS
Active
Other names
Evolve Managed Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
LISA W MCFANN (COO)
(912) 297-0066
Entity
Organization
Contact information
Practice address
519 BLACKBURN DR STE 523, AUGUSTA, GA 30907-8202
(912) 297-0066
Mailing address
519 BLACKBURN DR STE 523, AUGUSTA, GA 30907-8202
(912) 297-0066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/30/2023
Last updated
05/15/2024
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