| Bhg Lii, Llc | |
|
794 Mcdonough Rd Ste 104 Jackson GA 30233-1572 | |
| (214) 365-6100 | |
| Not Available |
| Full Name | Bhg Lii, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 794 Mcdonough Rd Ste 104, Jackson, Georgia |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Lii, Llc 5001 Spring Valley Rd Ste 600e Dallas TX 75244 Ph: (214) 365-6100 | Bhg Lii, Llc 794 Mcdonough Rd Ste 104 Jackson GA 30233-1572 Ph: (214) 365-6100 |
| NPI Number | 1033628466 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 8921433483 |
|---|---|
| Medicare Enrollment ID | O20200110002635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033628466 | NPI | - | NPPES |
Bhg Lxvi, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 794 Mcdonough Road, Suite #104, Obot Room #100, Jackson, GA 30233 Phone: 770-775-9044 Fax: 770-775-9075 | |
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