Organization
DR. RANCE W. HUMPHREYS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANCE WILLIAM HUMPHREYS M.D. (PRESIDENT)
(706) 529-9614
Entity
Organization
Contact information
Practice address
1109 BURLEYSON RD, SUITE 100, DALTON, GA 30720-3094
(706) 529-9614
(706) 529-9615
Mailing address
PO BOX 1575, ROCKY FACE, GA 30740-1575
(706) 529-9614
(706) 529-9615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
046427
GA
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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