Organization
DIVERSITY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JONES-HEATH (CEO)
(912) 318-3947
Entity
Organization
Contact information
Practice address
213 N MCDONALD ST STE D, LUDOWICI, GA 31316-6075
(912) 545-9398
(912) 545-2747
Mailing address
PO BOX 1520, HINESVILLE, GA 31310-8520
(912) 545-9398
(912) 545-2047
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE011178
PHARMACY PERMIT
GA
Enumeration date
06/11/2024
Last updated
06/11/2024
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