Organization
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Active
Parent organization
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Other names
Mountain Lakes Physicians Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC
Authorized official
KRISTY HALL (CHIEF EXECUTIVE OFFICER)
(706) 782-0400
Entity
Organization
Contact information
Practice address
180 LEGACY PT STE 200, CLAYTON, GA 30525-5354
(706) 782-3100
Mailing address
162 LEGACY PT, CLAYTON, GA 30525-5354
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
10/23/2024
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