# PROFESSIONAL RESOURCE MGMT OF RABUN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Lakes Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427057363
- **Authorized official:** MS. KRISTY HALL (CEO)
- **Authorized official phone:** (706) 782-0400

## Contact information

- **Practice address:** 196 RIDGECREST CIR, SURGICAL SERVICE, CLAYTON, GA 30525-4111
- **Practice address phone:** (706) 782-4233
- **Practice address fax:** (706) 782-0451
- **Mailing address:** 196 RIDGECREST CIR, SURGICAL SERVICE, CLAYTON, GA 30525-4111
- **Mailing address phone:** (706) 782-4233
- **Mailing address fax:** (706) 782-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 62897 | GA | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 08/08/2023