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Contact Information

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
3120 N OAK STREET EXT STE B
VALDOSTA, GA31602-5910
 Phone: 229-671-6175
 Fax: 229-293-0876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

NPI Number 1942374749
LBN Legal business name BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Authorized official WILLIAM HULING - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 06/11/2024 - More than a year ago
Identifiers
GA Medicaid 737879168A
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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