Organization
HEALTH FIRST
Active
Organization
HEALTH FIRST
Active
Other names
MOUNTAIN VALLEY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLIE SUZANNE PENNINGTON (OFFICE MANAGER)
(706) 746-6571
Entity
Organization
Contact information
Practice address
92 BETTYS CREEK RD, DILLARD, GA 30537-2257
(706) 746-6571
(706) 746-5643
Mailing address
PO BOX 444, DILLARD, GA 30537-0444
(706) 746-6571
(706) 746-5643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
025380
GA
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000273831G
—
GA
01
—
1669589594
NPI
GA
Enumeration date
10/02/2007
Last updated
02/24/2025
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