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Keenan Pacut
NPI 1013540160 · on the registry since 2020 · sole proprietor
Practice
- Address
- 410 E Church St
Fort Valley, GA 31030 - Phone
- (229) 938-7274
- Organisation at this address
- Middle Flint Area Community Service Board
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Community/Behavioral Health Agency
251S00000X
- Sex
- Male
- Record last updated
- 2020-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia