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NPI Code Detail

MEDICARE: GEORGIA HARM REDUCTION COALITION

MEDICARE: GEORGIA HARM REDUCTION COALITION
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1972318418
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA HARM REDUCTION COALITION
Provider Business Mailing Address
First Line : 1231 JOSEPH E BOONE BLVD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30314-2395
Country : US
Telephone Number : 404-817-9994
Fax Number : 404-817-9939
Provider Business Practice Location Address
First Line : 1231 JOSEPH E BOONE BLVD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30314-2395
Country : US
Telephone Number : 404-817-9994
Fax Number : 404-817-9939
Authorized Official
Title or Position : RYAN WHITE ADAP COORDINATOR
Name : COREY STALLWORTH
Credential :
Telephone Number : 404-817-9994
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “GEORGIA HARM REDUCTION COALITION ” Practice Location

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