Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Department of Behavioral Health & Developmental Disabilities, Ga

Organization Neurology Physician · NPI 1174942684

Department of Behavioral Health & Developmental Disabilities, Ga is a Neurology Physician in Thomasville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

400 S Pinetree Blvd
Thomasville, GA 31792-7128
Phone: (229) 227-2990
Fax: (229) 225-4052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 51452 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 30647 (GA)

Record details

NPI number1174942684
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDepartment of Behavioral Health & Developmental Disabilitites, Ga
Authorized official Holly Crowley — Medical Director · (229) 227-2990
Other names Southwest Community Clinic
NPI enumeratedApril 11, 2014
Last updated in NPPESApril 11, 2014
Mailing address400 S Pinetree Blvd, Thomasville, GA 31792-7128

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