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Organization

NEW START - MVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLON LLOYD (CFO)
(678) 858-2837
Entity
Organization

Contact information

Practice address
1211 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2395
(678) 858-2837
Mailing address
1211 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2395
(678) 858-2837

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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