Organization
HEALING HANDS COMMUNITY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI ANN KING LPN (EXECUTIVE DIRECTOR)
(706) 781-7957
Entity
Organization
Contact information
Practice address
64 BRACKETTS WAY, SUITE 3, BLAIRSVILLE, GA 30512-2982
(706) 994-6768
(706) 781-3921
Mailing address
PO BOX 2143, BLAIRSVILLE, GA 30514-2143
(706) 994-6768
(706) 781-3921
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
LPN057830
GA
261QD0000X
Dental Clinic/Center
LPN057830
GA
261QR1300X
Rural Health Clinic/Center
LPN057830
GA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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