Organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
STEPHEN TYLER WILLIAMS (VP OF STRATEGY AND BUSINESS DEVELOP)
(706) 754-3113
Entity
Organization
Contact information
Practice address
541 HIGHWAY 441 N, DEMOREST, GA 30535
(706) 754-2161
(706) 754-7300
Mailing address
PO BOX 37, DEMOREST, GA 30535-0037
(706) 754-2161
(706) 754-7300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
068-001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0261639
CLIA #
GA
Enumeration date
03/12/2007
Last updated
10/21/2019
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