Organization
ACS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK SIMON (DIRECTOR OF OPERATIONS)
(229) 809-0403
Entity
Organization
Contact information
Practice address
1005 W TIFT AVE, ALBANY, GA 31701-5800
(229) 809-0403
Mailing address
PO BOX 70241, ALBANY, GA 31708-0241
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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