Organization
NORTHEAST GEORGIA MEDICAL HABERSHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN D STEINES (CHIEF FINANCIAL OFFICER)
(770) 219-1703
Entity
Organization
Contact information
Practice address
541 HISTORIC HIGHWAY 441 N, SUITE 1, DEMOREST, GA 30535
(706) 754-2273
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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