# DIVERSITY HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255801890
- **Authorized official:** MRS. STEPHANIE JONES-THEAKER (CEO)
- **Authorized official phone:** (912) 318-3947

## Contact information

- **Practice address:** 303 FRASER DR, HINESVILLE, GA 31313-3712
- **Practice address phone:** (912) 255-5523
- **Practice address fax:** (912) 320-4234
- **Mailing address:** PO BOX 1520, HINESVILLE, GA 31310-8520
- **Mailing address phone:** (191) 254-5939
- **Mailing address fax:** (912) 877-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2018
- **Last updated:** 03/12/2019