| Chl | |
|
235 E Washington Ave Ashburn GA 31714-5224 | |
| (229) 778-9216 | |
| Not Available |
| Full Name | Chl |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 235 E Washington Ave, Ashburn, Georgia |
| Authorized Official Name and Position | Piper Parker Crews (MANAGER) |
| Authorized Official Contact | 2298864433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chl 2316 Pendleton St Albany GA 31721-9264 Ph: (229) 886-4433 | Chl 235 E Washington Ave Ashburn GA 31714-5224 Ph: (229) 778-9216 |
| NPI Number | 1649734773 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649734773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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