Organization
ELLIJAY URGENT CARE & FAMILY PRACTICE LLC
Active
Other names
ELLIJAY URGENT CARE & FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIJAY URGENT CARE FAMILY PRACTICE. D.O. (OWNER)
(706) 635-5177
Entity
Organization
Contact information
Practice address
97 HEFNER ST STE 202, EAST ELLIJAY, GA 30540-8268
(706) 635-5177
(706) 635-2274
Mailing address
97 HEFNER ST STE 202, EAST ELLIJAY, GA 30540-8268
(706) 635-2273
(706) 635-2274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
062579
GA
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
10/01/2018
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