Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Other names
Central State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN BAILEY (REGIONAL HOSPITAL ADMINISTRATOR)
(478) 445-4128
Entity
Organization
Contact information
Practice address
620 BROAD ST, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Mailing address
620 BROAD ST, MILLEDGEVILLE, GA 31062-7525
(478) 445-4128
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
005-363
GA
Other
Enumeration date
08/03/2006
Last updated
09/26/2008
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