R T Stanley Health Center LLC

NPI #1790778736 in Lyons, Georgia

Provider Information

NPI Number
1790778736
Entity Type
Organization
Organization Name
R T Stanley Health Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST REGIONAL PRIMARY CARE CORP
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Aug 24, 2005
Last Updated
Aug 27, 2019

Practice Location

Address
110 RT STANLEY SR PL
City
Lyons
State
Georgia
ZIP Code
30436-5623
Phone
(912) 526-9355

Authorized Official

Name
TONY M OSTEEN
Title
CFO
Phone
(912) 535-8691

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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