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NPI Code Detail

MEDICARE: OCONEE CENTER

MEDICARE: OCONEE CENTER
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility005-R-0004GA

General Provider Information

NPI Number : 1255400545
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCONEE CENTER
Provider Business Mailing Address
First Line : PO BOX 1827
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31059-1827
Country : US
Telephone Number : 478-445-5908
Fax Number : 478-445-5902
Provider Business Practice Location Address
First Line : 1361 ORCHARD HILL RD
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2551
Country : US
Telephone Number : 478-445-3066
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : JENNIFER B GHEESLING
Credential :
Telephone Number : 478-445-4971
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/02/2020

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Directions to “OCONEE CENTER ” Practice Location

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