Organization
S. HEALTH CORPORATION OF ELLIJAY
Active
Other names
N. Geogia Medical Center & Gilmer Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE SELF CFO (CHIEF FINANCIAL OFFICER)
(706) 276-4741
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 276-4741
(706) 276-4645
Mailing address
PO BOX 2239, ELLIJAY, GA 30540-0025
(706) 276-4741
(706) 276-4645
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
10611232
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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