Provider Demographics
NPI:1588825467
Name:AFTERHOURS CARE OF AMERICUS, INC
Entity Type:Organization
Organization Name:AFTERHOURS CARE OF AMERICUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:WYSOCHANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, FNP
Authorized Official - Phone:229-928-1300
Mailing Address - Street 1:PO BOX 982
Mailing Address - Street 2:208 E LAMAR STREET STE A
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3693
Mailing Address - Country:US
Mailing Address - Phone:229-928-1300
Mailing Address - Fax:229-928-1340
Practice Address - Street 1:208 E LAMAR STREET
Practice Address - Street 2:STE A
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3693
Practice Address - Country:US
Practice Address - Phone:229-928-1300
Practice Address - Fax:229-928-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care