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Organization

NURSING & BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST GRANT FLAGG RN, MPA, BS, DDP (PRESIDENT & CEO)
(404) 553-1929
Entity
Organization

Contact information

Practice address
4525 FLAT SHOALS PKWY, DECATUR, GA 30034-5038
(404) 600-8675
(800) 766-1168
Mailing address
4525 FLAT SHOALS PKWY, DECATUR, GA 30034-5038
(404) 600-8675
(800) 766-1168

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary

Other

Enumeration date
04/09/2014
Last updated
07/08/2015
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