Georgia Correctional Industries
Organization Active NPI Eyewear Supplier · Trion, GA
NPI 1801969175 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801969175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- GEORGIA CORRECTIONAL INDUSTRIES
- Practice address
- 777 Underwood Dr
Trion, GA 30753-1500 - Phone
- (706) 857-0650
- Fax
- (706) 857-0652
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Watson
- Title
- Executive Director
- Phone
- (404) 244-5100
National Provider Directory
Locations
2984 Clifton Springs Rd
Decatur, GA 30034
777 Underwood Dr
Trion, GA 30753
Phone (706) 857-0514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
777 Underwood Dr
Trion, GA 30753-1500
Mailing address
2984 Clifton Springs Rd
Decatur, GA 30034-3820
Phone (404) 244-5100
Other providers in Trion, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.