institution
R T Stanley Health Center Llc
Rural Health Clinic/Center in Lyons, Georgia
NPI 1790778736

R T Stanley Health Center Llc is a Rural Health Clinic/Center based in Vidalia, GA and is specialized in Rural Health. R T Stanley Health Center Llc practices in Lyons, GA. The NPI Number for R T Stanley Health Center Llc is 1790778736 and holds a License No. 138-476 (Georgia).

The current practice location address for R T Stanley Health Center Llc is 110 Rt Stanley Sr Pl, Lyons, GA and can be reached out via phone at 912-526-9355 and via fax at 912-526-8622.

Location: 110 Rt Stanley Sr Pl, Lyons, GA, 30475-0407
institution
Provider Profile Details
NPI Number
1790778736
Provider Name
R T Stanley Health Center Llc
Credential
Provider Entity Type
Organization
Address
110 Rt Stanley Sr Pl, Lyons, GA, 30475-0407
Phone Number
912-526-9355
Fax Number
912-526-8622
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
11-8904 01 GA MEDICARE ID-TYPE UNSPECIFIED
0003111970A 05 GA
institution
Provider Business Practice Location Address Details
Address
110 Rt Stanley Sr Pl
City
State
Zip
30436-5623
Phone Number
912-526-9355
Fax Number
912-526-8622
person
Provider Business Mailing Address Details
Address
110 Rt Stanley Sr Pl
City
State
Zip
30436-5623
Phone Number
912-526-9355
Fax Number
912-526-8622
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
138-476 (Georgia)
Definition
Definition to come...
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