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NPI 1982227781 · live from the CMS NPI Registry

Advent Care Systems Of Ocilla, LLC

Clinic/Center, Rural Health in Ocilla, GA. National Provider Identifier 1982227781, active.

NPI record

NPI1982227781 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Rural Health 261QR1300X
Practice location501 N Irwin Ave, Ocilla, GA 31774
Practice phone912-433-0615
Mailing addressPo Box 413, Hinesville, GA 31310
EnumeratedMay 27, 2020
Last updatedSeptember 16, 2020
Authorized officialRyan Trettien, Executive Director

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Psychologist, Clinical103TC0700X—
Dentist, Endodontics1223E0200X—
Dentist, General Practice1223G0001X—
Dentist, Pediatric Dentistry1223P0221X—
Dentist, Oral and Maxillofacial Surgery1223S0112X—
Pharmacist183500000X—
Podiatrist213E00000X—
Podiatrist, Sports Medicine213ES0000X—
Podiatrist, Foot & Ankle Surgery213ES0103X—
Physical Therapist225100000X—
Occupational Therapist225X00000X—
Clinic/Center, Multi-Specialty261QM1300X—
Clinic/Center, Primary Care261QP2300X—
Clinic/Center, Rural Health primary261QR1300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.