Organization
DOCTORS HOSPICE OF GEORGIA, INC
Active
Organization
DOCTORS HOSPICE OF GEORGIA, INC
Active
Other names
Doctors Hospice of Georgia Fayetteville
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOSEPH MCHUGH RN, MSN (PRESIDENT)
(706) 307-1400
Entity
Organization
Contact information
Practice address
1008 HIGHWAY 54, FAYETTEVILLE, GA 30215-0000
(706) 307-1400
(770) 538-5108
Mailing address
3660 HOWELL FERRY RD, BUILDING B, DULUTH, GA 30096-3178
(706) 307-1400
(770) 586-5108
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
067-3705-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067-3705-H
STATE OF GEORGIA
GA
Enumeration date
04/17/2009
Last updated
04/17/2009
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