Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Other names
Avita Community Partners
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WEYNETTE THOMPSON (BILLING SPECIALIST)
(678) 513-5720
Entity
Organization
Contact information
Practice address
117 DEERFIELD LANE, ROYSTON, GA 30662-5074
(678) 513-5720
Mailing address
4331 THURMOND TANNER PKWY, FLOWERY BRANCH, GA 30542-2829
(678) 513-5720
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000607054BX
—
GA
Enumeration date
04/03/2012
Last updated
04/03/2012
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