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DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES GA NPI 1174942684


NPI Information

NPI: 1174942684
Provider Name: DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA

Doing Business As: SOUTHWEST COMMUNITY CLINIC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
400 S PINETREE BLVD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-2990
Get Directions

DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA is a neurology psychiatry neurology in Thomasville, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA NPI is 1174942684. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwest Community Clinic.

The provider's business location address is:

400 S PINETREE BLVD
THOMASVILLE, GA
ZIP 31792-128
Phone: (229) 227-2990
Fax: (229) 225-4052

The provider's authorized official is Holly M Crowley .
The authorized official title is Medical Director and has the following contact phone number (229) 227-2990.

The enumeration date for this NPI number is 4/11/2014 and was last updated on 4/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice30647GEORGIANo
22084N0400XPsychiatry & NeurologyNeurology51452GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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