Organization · Type 2 NPI

R T Stanley Health Center LLC

Rural Health Clinic/Center · Lyons, GA

NPI number 1790778736 Active

Practice location

110 Rt Stanley Sr Pl
Lyons, GA 30436-5623

Call (912) 526-9355 Map

Fax (912) 526-8622

Mailing address

PO Box 407
Vidalia, GA 30475-0407

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	138-476 (GA)

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Meadows Multispecialty Associates, LLCInternal Medicine Physician Lyons, GA NPI 1952990533
Bradley Harper Young, FNP-BCNurse Practitioner Lyons, GA NPI 1912238460

NPI record

NPI: 1790778736
Entity type: Organization (Type 2)
Issued: Aug 24, 2005
Last updated: Aug 27, 2019
Status: Active
Subpart: Yes of Southeast Regional Primary Care Corp

Other names

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R T Stanley Health Center LLC · doing business as
R T Stanley Health Center LLC · doing business as

Authorized official

Tony M Osteen
CFO
(912) 535-8691

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790778736

R T Stanley Health Center LLC's National Provider Identifier is 1790778736, issued on Aug 24, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Lyons, GA. The record was last updated on Aug 27, 2019.