South Georgia Csb
NPI #1730252479 in Lakeland, Georgia
Provider Information
- NPI Number
- 1730252479
- Entity Type
- Organization
- Organization Name
- South Georgia Csb
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Dec 15, 2008
Practice Location
Authorized Official
- Name
- MRS. SUE GUPTON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (229) 671-6101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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