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  • 111723
CCN: 111723 NPI: 1003192477 Organization

Traditions Health

794 MCDONOUGH RD STE 106&107
JACKSON, GA 302331572

Contact Information

  • Phone 9797046547
  • Fax 7707750200
  • Enumeration Date 2011-10-28
  • Last Updated 2025-11-12

Taxonomies

  • Code: 251G00000X (Primary) License State: GA License: 018-0363-H

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35
censusDivision 3
cbsaActualGeographicLocation 12060
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 12060
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 99
cbsaActualGeographicLocation 12060
providerType 35
specialPaymentIndicator
carrierCode 10212
localityCode 99

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