Mt. Bethel Shepherd Center Inc. | |
4608 Lower Roswell Rd Marietta GA 30068-4237 | |
(678) 571-5119 | |
Not Available |
Full Name | Mt. Bethel Shepherd Center Inc. |
---|---|
Speciality | Counselor - Professional |
Location | 4608 Lower Roswell Rd, Marietta, Georgia |
Authorized Official Name and Position | Donnie Mayfield (PRESIDENT) |
Authorized Official Contact | 6785715119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mt. Bethel Shepherd Center Inc. 4608 Lower Roswell Rd Marietta GA 30068-4237 Ph: (678) 571-5119 | Mt. Bethel Shepherd Center Inc. 4608 Lower Roswell Rd Marietta GA 30068-4237 Ph: (678) 571-5119 |
NPI Number | 1003057746 |
---|---|
Provider Enumeration Date | 03/10/2009 |
Last Update Date | 03/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003057746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2583 (Georgia) | Primary |
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