Organization
SCHOOL BASED MEDICAID BILLING SERVICES OF NW GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON HOPPER (OWNER)
(706) 629-1198
Entity
Organization
Contact information
Practice address
108 NORTHSIDE DR, CALHOUN, GA 30701-2919
(706) 629-1198
Mailing address
108 NORTHSIDE DR, CALHOUN, GA 30701-2919
(706) 629-1198
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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