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NPI Code Detail

MEDICARE: ALBANY AREA CSB

MEDICARE: ALBANY AREA CSB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1235293507
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBANY AREA CSB
Provider Business Mailing Address
First Line : 29040 HWY 45
Second Line :
City : MORGAN
State : GA
Zip : 39866
Country : US
Telephone Number : 229-849-5140
Fax Number :
Provider Business Practice Location Address
First Line : 1120 W BROAD AVE
Second Line :
City : ALBANY
State : GA
Zip : 31707-4397
Country : US
Telephone Number : 229-430-4002
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MARCUS THOMPKINS
Credential :
Telephone Number : 229-430-4005
Provider Enumeration Date : 12/21/2006
Last Update Date : 03/05/2008

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Directions to “ALBANY AREA CSB ” Practice Location

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