# SOUTHERN HEALTH CORP OF ELLIJAY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Craig Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962683961
- **Authorized official:** MISS DEBBIE ANN SELF (CFO)
- **Authorized official phone:** (706) 276-4741

## Contact information

- **Practice address:** 61 HIGHLAND CT, SUITE 101, EAST ELLIJAY, GA 30540-6777
- **Practice address phone:** (706) 698-4362
- **Practice address fax:** (706) 698-4366
- **Mailing address:** PO BOX 1019, ELLIJAY, GA 30540-0013
- **Mailing address phone:** (706) 635-5177
- **Mailing address fax:** (706) 635-5183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007