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Organization

NORTHEAST GEORGIA MEDICAL CENTER INC

Active
Parent organization
NORTHEAST GEORGIA MEDICAL CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST GEORGIA MEDICAL CENTER INC
Authorized official
MS. YAVONDA HAYNES (PFS MANAGER)
(770) 219-5944
Entity
Organization

Contact information

Practice address
743 SPRING ST NE STE 735B, GAINESVILLE, GA 30501-3715
(770) 219-2265
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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