Organization
PORT CITY MEDICAL ASSOCIATES INC
Active
Other names
City of Bainbridge, Bainbridge Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD REYNOLDS (PRESIDENT)
(229) 246-7200
Entity
Organization
Contact information
Practice address
931 S WEST ST, BAINBRIDGE, GA 39819-4543
(229) 248-4220
Mailing address
PO BOX 576, BAINBRIDGE, GA 39818-0576
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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