Organization
BRASSTOWN INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANEAU HAYES M.D. (PRESIDENT)
(706) 835-5000
Entity
Organization
Contact information
Practice address
986 OLD CHICKEN FARM RD, YOUNG HARRIS, GA 30582-2122
(706) 835-5000
Mailing address
PO BOX 326, HIAWASSEE, GA 30546-0326
(706) 835-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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