South Georgia Csb in Valdosta - Developmental Disabilities
South Georgia Csb - NPI 1740320290
South Georgia Csb is a Developmental Disabilities in Valdosta, Georgia. South Georgia Csb practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for South Georgia Csb is 1740320290. The last update date is 2020-08-22.
South Georgia Csb's current location address is 3120 N Oak Street Ext, Valdosta, Georgia. You can contact this provider via phone number 2296716140 and fax number 2293335263. The mailing address for South Georgia Csb is 3120 N Oak Street Ext, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Georgia Csb |
|---|---|
| Address | 3120 N Oak Street Ext, Valdosta, Georgia |
| Phone Number | 2296716140 |
| Fax Number | 2293335263 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Gupton B Sue |
| Credentials | LMFT,LPC |
| Telephone Number | 2296716101 |
NPI Number Detail
| NPI Number | 1740320290 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3120 N Oak Street Ext |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316021007 |
| Phone Number | 2296716140 |
| Fax Number | 2293335263 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
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Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
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What is the unique identifier code issued to South Georgia Csb by the Centers for Medicare & Medicaid Services (CMS)?
The South Georgia Csb has been assigned the NPI (National Provider Identifier) 1740320290. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the South Georgia Csb's physical address?
The South Georgia Csb is physically located at 3120 N Oak Street Ext, in the city of Valdosta, GA, with the postal code 316021007.
What is the South Georgia Csb's area of specialization and corresponding taxonomy classification?
The South Georgia Csb's specialty field is Developmental Disabilities, and it falls under the taxonomy code 261Qd1600X, which categorizes healthcare providers based on their specialties.
On what date was the 1740320290 assigned to South Georgia Csb?
The South Georgia Csb was issued its 1740320290 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to South Georgia Csb, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Georgia Csb, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.