Organization
GREEN OAKS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FOLSOM (CLINICAL COORDINATOR)
(229) 891-7300
Entity
Organization
Contact information
Practice address
2443 GA HWY 133 SOUTH, MOULTRIE, GA 31788
(229) 891-7300
(229) 891-7303
Mailing address
2443 GA HWY 133 SOUTH PO BOX 2677, MOULTRIE, GA 31788
(229) 891-7300
(229) 891-7303
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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