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Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
Parkside Ellijay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CHIEF EXECUTIVE OFFICER)
(706) 635-7881
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 635-7881
(706) 276-3698
Mailing address
PO BOX 2239, ELLIJAY, GA 30540-0025
(706) 635-7881
(706) 276-3698
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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