Healthcare Provider Details

I. General information

NPI: 1922205236
Provider Name (Legal Business Name): CAREPARTNERS OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 N ROUNTREE ST
METTER GA
30439-3615
US

IV. Provider business mailing address

109 ROBERTS STREET
SWAINSBORO GA
30401-3114
US

V. Phone/Fax

Practice location:
  • Phone: 478-237-2484
  • Fax:
Mailing address:
  • Phone: 478-237-2484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID W CROOKE
Title or Position: CEO
Credential: LPC
Phone: 478-237-2484