Organization
GOLDEN BRIDGES CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON D SHATTEEN (CEO)
(770) 407-9957
Entity
Organization
Contact information
Practice address
3186 EVANS MILL RD, STONECREST, GA 30038-2420
(770) 407-9957
Mailing address
3186 EVANS MILL RD, STONECREST, GA 30038-2420
(770) 407-9957
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010343
GEORGIA DEPARTMENT OF COMMUNTIY HEALTH
GA
Enumeration date
09/07/2021
Last updated
09/07/2021
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