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Organization
ELBERT MEMORIAL HOSPITAL
Active
Organization
ELBERT MEMORIAL HOSPITAL
Active
Parent organization
ELBERT MEMORIAL HOSPITAL
Other names
Lake Russell Specialty Healthcare Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELBERT MEMORIAL HOSPITAL
Authorized official
BRANDON CLARY (CEO)
(706) 213-2535
Entity
Organization
Contact information
Practice address
46 LAUREL DR, ELBERTON, GA 30635-1842
(706) 213-2579
Mailing address
4 MEDICAL DR, ELBERTON, GA 30635-1830
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
03/02/2016
Last updated
03/24/2016
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