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Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
Craig Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBBIE ANN SELF (CFO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
61 HIGHLAND CT, SUITE 101, EAST ELLIJAY, GA 30540-6777
(706) 698-4362
(706) 698-4366
Mailing address
PO BOX 1019, ELLIJAY, GA 30540-0013
(706) 635-5177
(706) 635-5183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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