Provider Demographics
NPI:1356340996
Name:SENIOR HEALTH CONSULTING ALLIANCE
Entity type:Organization
Organization Name:SENIOR HEALTH CONSULTING ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-731-2185
Mailing Address - Street 1:101 OCMULGEE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-6353
Mailing Address - Country:US
Mailing Address - Phone:478-731-2185
Mailing Address - Fax:478-745-3264
Practice Address - Street 1:101 OCMULGEE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-6353
Practice Address - Country:US
Practice Address - Phone:478-731-2185
Practice Address - Fax:478-745-3264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0502361835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty