Community Christian Council of Haralson County INC
NPI #1235631482 in Tallapoosa, Georgia
Provider Information
- NPI Number
- 1235631482
- Entity Type
- Organization
- Organization Name
- Community Christian Council of Haralson County INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 4, 2018
- Last Updated
- Mar 4, 2018
Practice Location
- Address
- 734 BOWDON ST
- City
- Tallapoosa
- State
- Georgia
- ZIP Code
- 30176-1043
- Phone
- (770) 328-8360
Authorized Official
- Name
- DR. ZACHARY DANEIL BUSH, PHARMD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (770) 328-8360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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