| The Epiphany Center | |
|
1791 Walker Rd Sw Conyers GA 30094-3126 | |
| (770) 760-8763 | |
| (770) 760-8765 |
| Full Name | The Epiphany Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1791 Walker Rd Sw, Conyers, Georgia |
| Authorized Official Name and Position | Carole E Smith (DIRECTOR) |
| Authorized Official Contact | 7707608763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Epiphany Center 1791 Walker Rd Sw Conyers GA 30094-3126 Ph: (770) 760-8763 | The Epiphany Center 1791 Walker Rd Sw Conyers GA 30094-3126 Ph: (770) 760-8763 |
| NPI Number | 1174667901 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174667901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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