Lowndes C&a Outpatient Services | |
3120 N Oak Street Ext Ste B Valdosta GA 31602-5910 | |
(229) 671-6164 | |
(229) 671-6750 |
Full Name | Lowndes C&a Outpatient Services |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 3120 N Oak Street Ext Ste B, Valdosta, Georgia |
Authorized Official Name and Position | William F. Huling (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2296716140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lowndes C&a Outpatient Services 3120 N Oak Street Ext Ste C Valdosta GA 31602-5910 Ph: (229) 671-6100 | Lowndes C&a Outpatient Services 3120 N Oak Street Ext Ste B Valdosta GA 31602-5910 Ph: (229) 671-6164 |
NPI Number | 1144394941 |
---|---|
Provider Enumeration Date | 11/20/2006 |
Last Update Date | 03/31/2020 |
Certification Date | 03/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144394941 | NPI | - | NPPES |
000742475M | Medicaid | GA |
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