Organization
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Active
Organization
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Active
Other names
MOUNTAIN LAKES MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY HALL (CEO)
(706) 782-0400
Entity
Organization
Contact information
Practice address
162 LEGACY PT, CLAYTON, GA 30525-5354
(706) 782-3100
Mailing address
162 LEGACY PT, CLAYTON, GA 30525-5354
(706) 782-3100
(706) 782-6897
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
119621
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001559S
—
GA
Enumeration date
02/28/2007
Last updated
06/23/2025
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