Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LEVI (CEO)
(678) 513-5700
Entity
Organization
Contact information
Practice address
915 INTERSTATE RIDGE DR STE G, GAINESVILLE, GA 30501-7076
(678) 207-1600
Mailing address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000610992A
—
GA
Enumeration date
09/12/2006
Last updated
02/06/2025
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