DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHWESTERN STATE HOSPITAL

Active Organization

ICF/Individuals with Intellectual Disabilities · THOMASVILLE, GA

Registration Details

NPI Number
1215920525
Provider Type
Organization
NPI Issued
Aug 23, 2005 (20.662916413776 yrs)
Last Updated
Aug 18, 2009
License
2-136-832 (GA)

Practice Information

Address
400 S PINETREE BLVD
THOMASVILLE, GA, 317927128
Browse GA providers · Browse ZIP 31792
Phone
2292273004
Fax
2272272663

Other ICF/Individuals with Intellectual Disabilities Organizations in THOMASVILLE, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.