Organization
DIVERSITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE JONES-THEAKER (CEO)
(912) 318-3947
Entity
Organization
Contact information
Practice address
303 FRASER DR, HINESVILLE, GA 31313-3712
(912) 255-5523
(912) 320-4234
Mailing address
PO BOX 1520, HINESVILLE, GA 31310-8520
(191) 254-5939
(912) 877-0189
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
03/12/2019
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