# SOUTHERN HEALTH CORP OF ELLIJAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Georgia Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952395097
- **Authorized official:** MS. DEBBIE ANN SELF (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (706) 276-4741

## Contact information

- **Practice address:** 1362 S MAIN ST, 822 INDUSTRIAL BLVD; 60 OLD HIGHWAY 5 SOUTH, ELLIJAY, GA 30540-5410
- **Practice address phone:** (706) 276-4741
- **Practice address fax:** (706) 276-4645
- **Mailing address:** PO BOX 2239, PO BOX 1019, ELLIJAY, GA 30540-0025
- **Mailing address phone:** (706) 276-4741
- **Mailing address fax:** (706) 276-4645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 061435 | GA | Yes |

## Other

- **Enumeration date:** 09/05/2005
- **Last updated:** 06/14/2013