Organization
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Active
Other names
Wildcat Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA SULLIVAN (CFO)
(706) 782-0446
Entity
Organization
Contact information
Practice address
901 TIGER CONNECTOR, TIGER, GA 30576-2301
(706) 782-0459
(866) 580-8245
Mailing address
162 LEGACY PT, CLAYTON, GA 30525-5354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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