| Avita Community Partners | |
|
76 Hunt Martin St Suite A Blairsville GA 30512-3694 | |
| (706) 745-5911 | |
| (706) 745-9620 |
| Full Name | Avita Community Partners |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 76 Hunt Martin St, Blairsville, Georgia |
| Authorized Official Name and Position | Joe Rutherford (CEO) |
| Authorized Official Contact | 6785135700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avita Community Partners 76 Hunt Martin St Suite A Blairsville GA 30512-3694 Ph: (706) 745-5911 | Avita Community Partners 76 Hunt Martin St Suite A Blairsville GA 30512-3694 Ph: (706) 745-5911 |
| NPI Number | 1437489622 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437489622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005755 (Georgia) | Primary |
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