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Contact Information

DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA
400 S PINETREE BLVD
THOMASVILLE, GA31792-7128
 Phone: 229-227-2990
 Fax: 229-225-4052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA

NPI Number 1174942684
LBN Legal business name DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES, GA
Authorized official HOLLY CROWLEY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/11/2014
Last updated 04/11/2014 - About 12 years ago
Identifiers
GA License # 30647
GA License # 51452
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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