Pineland Mh/mr/sa Csb
NPI #1760658587 in Vidalia, Georgia
Provider Information
- NPI Number
- 1760658587
- Entity Type
- Organization
- Organization Name
- Pineland Mh/mr/sa Csb
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 1, 2008
- Last Updated
- May 1, 2008
Practice Location
Authorized Official
- Name
- JUNE A DIPOLITO
- Title
- EXECUTIVE DIRECTOR
- Phone
- (912) 764-6906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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