OrganizationActive
Terrell Lee (now)
NPI 1790052637 · Developmental Disabilities Clinic/Center · Dawson, GA
Provider details
- NPI number
- 1790052637
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Baranko, Cfo(229) 430-0416
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
508 Oak St Se
Dawson, GA 39842-2024
Phone: (229) 995-4587
Approximate (ZIP-level) locationGet directions
Mailing address
508 Oak St Se
Dawson, GA 39842-2024
Registry dates
- Enumerated
- 2011-11-21
- Last updated
- 2011-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.