| Obtain The Promise | |
|
3205 Woodward Crossing Blvd Ste F Buford GA 30519-4944 | |
| (470) 326-7482 | |
| Not Available |
| Full Name | Obtain The Promise |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3205 Woodward Crossing Blvd Ste F, Buford, Georgia |
| Authorized Official Name and Position | Thomas L Mcclain (OWNER) |
| Authorized Official Contact | 7049687163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obtain The Promise 3205 Woodward Crossing Blvd Ste F Buford GA 30519-4944 Ph: (704) 968-7163 | Obtain The Promise 3205 Woodward Crossing Blvd Ste F Buford GA 30519-4944 Ph: (470) 326-7482 |
| NPI Number | 1760086854 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760086854 | NPI | - | NPPES |
| ========= | Other | GA | IRS |
| 003181398A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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