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DR. JAMES GARY TOMBLIN PH.D.
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1093705584
Individual Registrant:DR. JAMES GARY TOMBLIN PH.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
941 MADDOX DR SUITE 220 EAST ELLIJAY, GA 30540-8184 US
Tel: 706-636-3240 Fax: 706-636-3234
Tel: 706-636-3240 Fax: 706-636-3234
Contact information for business:
941 MADDOX DR SUITE 220 EAST ELLIJAY, GA 30540-8184 US
Tel: 706-636-3240 Fax: 706-636-3234
Tel: 706-636-3240 Fax: 706-636-3234
Registration Information:
NPI: 1093705584
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | MH6604 |
| X | 101YP2500X | Behavioral Health & Social Service Providers Counselor | GA | LPC002329 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
