Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TUCKER (BILLING MANGER)
(678) 513-5700
Entity
Organization
Contact information
Practice address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Mailing address
3184 HIGHWAY 197, MT. AIRY, GA 30563
(678) 513-5700
(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
—
000607054BS
—
GA
Enumeration date
01/21/2011
Last updated
01/21/2011
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