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Organization

METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARA MILLER (FAMILY CONSULTANT)
(478) 464-3009
Entity
Organization

Contact information

Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3009
Mailing address
304 PIERCE AVE, MACON, GA 31204-2422

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC008321
GA

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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