Organization
RECOVERY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HALL MD (MEDICAL DIRECTOR)
(912) 927-6832
Entity
Organization
Contact information
Practice address
226 S ZETTEROWER AVE, STATESBORO, GA 30458-7135
(912) 266-9094
Mailing address
226 S ZETTEROWER AVE, STATESBORO, GA 30458-7135
(912) 266-9094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
02/12/2019
Last updated
04/18/2019
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