SOUTHEAST GEORGIA TREATMENT CENTER


Address: 816 Professional Center Dr, Eastman, GA 31023-6734
Phone: 4783740390

SOUTHEAST GEORGIA TREATMENT CENTER (NPI# 1952931164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952931164
Entity Type Organization
Organization Name SOUTHEAST GEORGIA TREATMENT CENTER
Practice Address 816 Professional Center Dr
Eastman
GA 31023-6734
Mailing Address Po Box 4306
Eastman
GA 31023-4306
Practice Telephone 4783740390
Mailing Telephone 4783740390
Mailing Fax Number 4783740458
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Authorized Official Name THOMAS M KNIGHT (MANGER)
Authorized Official Telephone 4782314728
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Office Location

Street Address 816 PROFESSIONAL CENTER DR
City EASTMAN
State GA
Zip Code 31023-6734

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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669088795 Port City Medical Associates Inc Clinic/Center 931 S West St, Bainbridge, GA 39819-4543 2020-09-23
1912528696 Pittard Clinic LLC Clinic/Center 1654 Falls Rd, Toccoa, GA 30577 2020-05-04
1497388730 Brand New Start Treatment Center- Paulding LLC Clinic/Center 311 Wi Pkwy, Suite 500, Dallas, GA 30327 2020-02-14
1275165755 Walton County Treatment Center LLC Clinic/Center 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 2020-02-12
1023640596 Georgia Treatment Center LLC Clinic/Center 514 W Maple St Ste 1206, Cumming, GA 30040-2536 2020-02-12
1417587502 Ringgold Treatment Center LLC Clinic/Center 8292 Highway 41, Ringgold, GA 30736-2354 2020-01-17
1508405150 Woodstock Treatment Center LLC Clinic/Center 270 Heritage Walk, Woodstock, GA 30188-3875 2019-12-30
1588208128 Narquest Healthcare Services, LLC Clinic/Center 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 2019-11-06
1619511334 Douglasville Healthcare Services, LLC Clinic/Center 4158 Washington Rd Ste 4, Evans, GA 30809-4720 2019-11-06
1013551662 Newnan Healthcare Services, LLC Clinic/Center 931 Lower Fayetteville Rd Ste K, Newnan, GA 30263-5790 2019-11-06
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Competitor

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City EASTMAN
Zip Code 31023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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