EVERGREEN GERIATRIC CARE MANAGEMENT, LLC

AUGUSTA, GA
NPI1306116637
Doing Business AsEVE PEARSON, LCSW
Entity TypeOrganization
Authorized ContactEVE WILLIAMS PEARSON
Owner/Therapist
706-288-5428
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: GA  CSW004126)
Additional Taxonomies305R00000X Preferred Provider Organization
(Licence: GA  CSW004126)
305S00000X Point of Service
(Licence: GA  CSW004126)
302F00000X Exclusive Provider Organization
(Licence: GA  CSW004126)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
EVERGREEN GERIATRIC CARE MANAGEMENT, LLC
1521 STOVALL ST
AUGUSTA, GA 30904-6215
Phone number: 706-288-5428
Mailing Address
EVERGREEN GERIATRIC CARE MANAGEMENT, LLC
1521 STOVALL ST
AUGUSTA, GA 30904-6215
Phone number: 706-288-5428