Organization
TBFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS E WINDHOM SR. (CEO)
(404) 625-5907
Entity
Organization
Contact information
Practice address
150 SESSIONS DR, MACON, GA 31201-2317
(404) 625-5907
Mailing address
150 SESSIONS DR, MACON, GA 31201-2317
(404) 625-5907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/06/2023
Last updated
05/30/2023
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