Organization
ALLIED HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BURNEY (EXECUTIVE DIRECTOR)
(919) 639-8308
Entity
Organization
Contact information
Practice address
455 S MAIN ST, HINESVILLE, GA 31313-4353
(912) 876-6868
(912) 876-6566
Mailing address
455 S MAIN ST STE 103, HINESVILLE, GA 31313-4354
(912) 408-6868
(919) 238-4528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/05/2012
Last updated
06/28/2012
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