Organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Active
Parent organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Other names
LAURELWOOD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Authorized official
BRIAN D STEINES (CFO)
(770) 219-3562
Entity
Organization
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
(770) 219-6694
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891
(770) 219-9000
(770) 219-6694
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000888A
—
GA
Enumeration date
06/23/2006
Last updated
04/22/2020
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