| Georgia Dept Of Human Resouces Field Fiscal Services - Region Ii | |
|
447 Ee Butler Pkwy Gainesville GA 30501-4524 | |
| (770) 531-4558 | |
| (770) 531-4569 |
| Full Name | Georgia Dept Of Human Resouces Field Fiscal Services - Region Ii |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 447 Ee Butler Pkwy, Gainesville, Georgia |
| Authorized Official Name and Position | Pamela Lee Sage (FINANCIAL OPERATIONS GENERALIST SUP) |
| Authorized Official Contact | 7705314558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dept Of Human Resouces Field Fiscal Services - Region Ii Po Box 3250 Gainesville GA 30503-3250 Ph: (770) 531-4558 | Georgia Dept Of Human Resouces Field Fiscal Services - Region Ii 447 Ee Butler Pkwy Gainesville GA 30501-4524 Ph: (770) 531-4558 |
| NPI Number | 1578122578 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578122578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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