South Georgia CSB

Organization Active NPI Developmental Disabilities Clinic/Center · Quitman, GA

NPI 1154494359 · NPPES record last updated Dec 15, 2008

Key facts

NPI
1154494359
Entity type
Organization (NPI type 2)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Legal business name
SOUTH GEORGIA CSB
Practice address
1200 Roundtree St
Quitman, GA 31643-3712
Phone
(229) 263-7510
Fax
(229) 263-4925
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

Name
Mrs. Sue Gupton
Title
Chief Executive Officer
Phone
(229) 671-6101

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

National Provider Directory

Tax ID family
South Ga Community SVS BRD (29 organizations share this tax ID)

Locations

1200 Roundtree St
Quitman, GA 31643
Phone (229) 263-7510

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

1200 Roundtree St
Quitman, GA 31643-3712

Mailing address

1200 Roundtree St
Quitman, GA 31643-3712
Phone (229) 263-7510

Other names

  • Brooks DD Services Doing business as

Other providers in Quitman, GA

All providers in Quitman, GA · Developmental Disabilities Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.