Organization
GEORGIA CORRECTIONAL INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WATSON (EXECUTIVE DIRECTOR)
(404) 244-5100
Entity
Organization
Contact information
Practice address
777 UNDERWOOD DR, TRION, GA 30753-1500
(706) 857-0650
(706) 857-0652
Mailing address
2984 CLIFTON SPRINGS RD, DECATUR, GA 30034-3820
(404) 244-5100
(404) 244-5141
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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