Thomastine McGill

Organization Active NPI Community/Behavioral Health Agency · Waycross, GA

NPI 1730454760 · NPPES record last updated Mar 8, 2012

Key facts

NPI
1730454760
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
THOMASTINE MCGILL
Practice address
201 N Crawford St
Waycross, GA 31503-3932
Phone
(912) 449-7111
NPI assigned
Mar 8, 2012
Organization subpart
Yes
Parent organization (as reported)
SATILLA COMMUNITY SERVICE

Authorized official

Name
Bobby Brown
Title
Ceo
Phone
(912) 449-7111

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Supportive Employment (71 organizations share this tax ID)
Part of
Supportive Employment

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

201 N Crawford St
Waycross, GA 31503-3932

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7111

Other providers in Waycross, GA

All providers in Waycross, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.