Healthcare Provider Details

I. General information

NPI: 1336205228
Provider Name (Legal Business Name): PHYSICIANS CHOICE HEALTH SERVICES, INC..
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 PINE AVE STE 200
ALBANY GA
31701-2587
US

IV. Provider business mailing address

323 PINE AVE STE 200
ALBANY GA
31701-2587
US

V. Phone/Fax

Practice location:
  • Phone: 229-903-1122
  • Fax: 229-903-1550
Mailing address:
  • Phone: 229-903-1122
  • Fax: 229-903-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA WIGGINS THOMAS
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 229-903-1122