Early Miller Day (Comp)
Organization Active NPI Developmental Disabilities Clinic/Center · Blakely, GA
NPI 1598033433 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1598033433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- EARLY MILLER DAY (COMP)
- Practice address
- 302 Damascus Street
Blakely, GA 39823-3346 - Phone
- (229) 723-4325
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
Authorized official
- Name
- David Baranko
- Title
- Cfo
- Phone
- (229) 430-0416
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Early Miller Employment Comp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
302 Damascus Street
Blakely, GA 39823-3346
Mailing address
302 Damascus Street
Blakely, GA 39823-3346
Other providers in Blakely, GA
- Early Memorial Hospital
- Early Memorial Hospital
- Early Memorial Hospital
- Early Memorial Hospital
- Early Memorial Hospital
- Early Miller Employment (Comp)
- Early Miller Employment (Now)
- Early Miller Personal Support (Comp)
- Early Miller Personal Support (Now)
- Early/Miller Day (Now)
All providers in Blakely, GA · Developmental Disabilities Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.