Organization
HEALTH FIRST
Active
Other names
Mountain Valley Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARLIE SUZANNE PENNINGTON (OFFICE MANAGER)
(706) 746-6571
Entity
Organization
Contact information
Practice address
92 BETTYS CREEK RD, DILLARD, GA 30537-2257
(706) 746-6571
(706) 746-5643
Mailing address
PO BOX 444, DILLARD, GA 30537-0444
(706) 746-6571
(706) 746-5643
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
25380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000649822A
—
GA
Enumeration date
05/29/2007
Last updated
02/24/2025
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