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Organization

GEORGIA MOUNTAINS COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN R TUCKER (BILLING MANAGER)
(678) 513-5733
Entity
Organization

Contact information

Practice address
228 N COLLEGE AVE, HARTWELL, GA 30643-1517
(706) 376-9001
Mailing address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000600795P
GA
Enumeration date
08/30/2006
Last updated
02/05/2008
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