Organization
CHL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PIPER PARKER CREWS (MANAGER)
(229) 886-4433
Entity
Organization
Contact information
Practice address
235 E WASHINGTON AVE, ASHBURN, GA 31714-5224
(229) 778-9216
Mailing address
2316 PENDLETON ST, ALBANY, GA 31721-9264
(229) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
08/14/2019
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