Organization
BUCHANAN SCC INC
Active
Other names
Countryside Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN WOOD (ADMINISTRATOR)
(770) 646-3861
Entity
Organization
Contact information
Practice address
233 CARROLLTON ST, BUCHANAN, GA 30113-4917
(770) 646-3861
(770) 646-3601
Mailing address
233 CARROLLTON ST, BUCHANAN, GA 30113-4917
(770) 646-3861
(770) 646-3601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/22/2005
Last updated
08/26/2009
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