Organization
HAVEN MEDICAL HOME PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WARD DO (OWNER)
(706) 833-8810
Entity
Organization
Contact information
Practice address
4480 DEER RUN, EVANS, GA 30809-4442
(706) 833-8810
(800) 504-1362
Mailing address
4480 DEER RUN, EVANS, GA 30809-4442
(706) 833-8810
(800) 504-1362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
08/05/2020
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