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NPI Code Detail

MEDICARE: FAMILY AND CHILDREN FIRST LLC

MEDICARE: FAMILY AND CHILDREN FIRST LLC
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
1251S00000XCommunity/Behavioral Health AgencyGA

General Provider Information

NPI Number : 1770627515
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY AND CHILDREN FIRST LLC
Provider Business Mailing Address
First Line : PO BOX 863
Second Line :
City : DALTON
State : GA
Zip : 30722-0863
Country : US
Telephone Number : 706-279-0405
Fax Number : 706-279-4190
Provider Business Practice Location Address
First Line : 1414 DUG GAP RD
Second Line :
City : DALTON
State : GA
Zip : 30720-5007
Country : US
Telephone Number : 706-279-0405
Fax Number : 706-279-4190
Authorized Official
Title or Position : VP OF ADMINISTRATION
Name : MRS. SONJA EARLY
Credential :
Telephone Number : 706-279-0405
Provider Enumeration Date : 02/16/2007
Last Update Date : 12/17/2021

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Directions to “FAMILY AND CHILDREN FIRST LLC ” Practice Location

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