Kearney, Georgia
Kearney, Georgia is an sole proprietor health care provider with primary practice located at 211 S Centennial St , High Point NC 27260-5215. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kearney, Georgia can be contacted via phone (336) 845-5452.Contact Information
Primary practice address
211 S Centennial St
High Point NC 27260-5215
Phone: (336) 845-5452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 364 | North Carolina |
Profile Details
| NPI number | 1194863613 |
|---|---|
| LBN Legal business name | Kearney, Georgia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194863613 | NPPES |
| North Carolina | MEDICAID | 6111383 |
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