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Organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Active
Organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Active
Other names
DBA NGMC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D STEINES (CFO)
(770) 219-3562
Entity
Organization
Contact information
Practice address
825 JESSE JEWELL PKWY SE, SUITE D, GAINESVILLE, GA 30501-3830
(770) 538-7559
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891
(770) 538-7559
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00608583A
—
GA
01
—
1119987
NCPDP
GA
01
—
PHRE007738
STATE LICENSE
GA
Enumeration date
12/27/2006
Last updated
03/07/2023
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