Organization
SOUTHEAST GEORGIA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M KNIGHT (MANGER)
(478) 231-4728
Entity
Organization
Contact information
Practice address
816 PROFESSIONAL CENTER DR, EASTMAN, GA 31023-6734
(478) 374-0390
Mailing address
PO BOX 4306, EASTMAN, GA 31023-4306
(478) 374-0390
(478) 374-0458
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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