Organization
METHODIST HOME OF THE SOUTH GEORGIA CONFERENCE
Active
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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