| Community Christian Council Of Haralson County Inc | |
|
734 Bowdon St Tallapoosa GA 30176-1043 | |
| (770) 328-8360 | |
| Not Available |
| Full Name | Community Christian Council Of Haralson County Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 734 Bowdon St, Tallapoosa, Georgia |
| Authorized Official Name and Position | Zachary Daneil Bush (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7703288360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Christian Council Of Haralson County Inc Po Box 815 Tallapoosa GA 30176-0815 Ph: (770) 328-8360 | Community Christian Council Of Haralson County Inc 734 Bowdon St Tallapoosa GA 30176-1043 Ph: (770) 328-8360 |
| NPI Number | 1235631482 |
|---|---|
| Provider Enumeration Date | 03/04/2018 |
| Last Update Date | 03/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235631482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Tmc Tallapoosa Family Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 W Lyon St, Tallapoosa, GA 30176 Phone: 770-824-2800 Fax: 770-824-2810 |