Organization
HOSPITALMD OF GEORGIA IP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BURNETTE (CEO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(770) 631-8478
Mailing address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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