Organization · NPI-2
Tri Star Drug And Alcohol
Clinic/Center · Dublin, GA
NPI number1285341503
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1285341503
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri Star Drug And Alcohol
- Organization subpart
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 1, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 251E00000X | Home Health | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – |
Practice location
600 N Jefferson St Unit CDublin, GA 31021-6302
Phone 478-292-5755
Mailing address
600 N Jefferson St Unit CDublin, GA 31021-6302
Phone 478-292-5755
Authorized official
John William Goolsby
Admin
4782461027
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