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Organization
HOME HEALTH AGENCY OF GEORGIA LLC
Active
Organization
HOME HEALTH AGENCY OF GEORGIA LLC
Active
Other names
Camellia Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFORD A. PAYNE III (PRESIDENT)
(601) 544-2900
Entity
Organization
Contact information
Practice address
1705 ENTERPRISE WAY SE, SUITE 102, MARIETTA, GA 30067-9224
(678) 354-1456
(678) 797-5761
Mailing address
PO BOX 1956, HATTIESBURG, MS 39403-1956
(601) 544-2900
(601) 264-3512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
07/03/2006
Last updated
06/20/2013
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