| 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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