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Organization
NORTHEAST GEORGIA MEDICAL CENTER INC
Active
Organization
NORTHEAST GEORGIA MEDICAL CENTER INC
Active
Parent organization
NORTHEAST GEORGIA MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST GEORGIA MEDICAL CENTER INC
Authorized official
MS. YAVONDA HAYNES (PFS MANAGER)
(770) 219-5944
Entity
Organization
Contact information
Practice address
743 SPRING ST NE STE 735B, GAINESVILLE, GA 30501-3715
(770) 219-2265
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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