Organization
PERRY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM PERRY BS EDUCATION (ASST. EXECUTIVE DIRECTOR)
(229) 924-2430
Entity
Organization
Contact information
Practice address
302 E FURLOW ST, AMERICUS, GA 31709-4031
(229) 924-2430
Mailing address
302 E FURLOW ST, AMERICUS, GA 31709-4031
(229) 924-2430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413579948A
—
GA
Enumeration date
01/13/2012
Last updated
01/13/2012
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