South Georgia Csb

NPI #1154494359 in Quitman, Georgia

Provider Information

NPI Number
1154494359
Entity Type
Organization
Organization Name
South Georgia Csb
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Nov 16, 2006
Last Updated
Dec 15, 2008

Practice Location

Address
1200 ROUNDTREE ST
State
Georgia
ZIP Code
31643-3712
Phone
(229) 263-7510

Authorized Official

Name
MRS. SUE GUPTON
Title
CHIEF EXECUTIVE OFFICER
Phone
(229) 671-6101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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