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Organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Active
Organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Other names
PrimeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
MR. JAMES A PETERSON (SR. VP OF FINANCE)
(706) 754-3113
Entity
Organization
Contact information
Practice address
541 HISTORIC HWY 441 N, DEMOREST, GA 30535-4528
(706) 754-2273
(706) 754-7300
Mailing address
396 HISTORIC HIGHWAY 441 N, DEMOREST, GA 30535
(706) 754-2273
(706) 754-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4705360
GA
Other
Enumeration date
03/13/2007
Last updated
03/26/2014
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