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South Georgia Csb
Developmental Disabilities Clinic/Center in Valdosta, Georgia
NPI 1386718187

South Georgia Csb is a Developmental Disabilities Clinic/Center based in Valdosta, GA and is specialized in Developmental Disabilities. South Georgia Csb practices in Valdosta, GA. The NPI Number for South Georgia Csb is 1386718187 and holds a License No. (Georgia).

The current practice location address for South Georgia Csb is 1644 E Park Ave, Valdosta, GA and can be reached out via phone at 229-249-4900 and via fax at 229-249-4910.

Location: 1644 E Park Ave, Valdosta, GA, 31602-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386718187
Provider Name
South Georgia Csb
Credential
Provider Entity Type
Organization
Address
1644 E Park Ave, Valdosta, GA, 31602-3413
Phone Number
229-249-4900
Fax Number
229-249-4910
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000607032X 05 GA
000607032V 05 GA
institution
Provider Business Practice Location Address Details
Address
1644 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3413
Phone Number
229-249-4900
Fax Number
229-249-4910
person
Provider Business Mailing Address Details
Address
1644 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3413
Phone Number
229-249-4900
Fax Number
229-249-4910
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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