Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
North Georgia Orthopedic Surgery and Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ANN SELF (CFO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
772 MADDOX DR, SUITE 112, EAST ELLIJAY, GA 30540-8194
(706) 276-4399
(706) 276-4741
Mailing address
PO BOX 1019, ELLIJAY, GA 30540-0013
(706) 276-4399
(706) 276-4741
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
053942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821059510
BRIAN ROWAN'S NPI NUMBER
GA
01
—
HOSP34
SOUTHERN HEALTH CORP OF ELLIJAYDBA NORTH GEORGIA MEDICAL CENTER PROVIDER NUMBER
GA
Enumeration date
08/31/2010
Last updated
03/07/2023
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