Organization
HABERSHAM PRO-CARE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BENES (BILLING MANAGER)
(706) 306-5008
Entity
Organization
Contact information
Practice address
481 441 HISTORIC HWY N, DEMOREST, GA 30535-4527
(706) 754-5036
Mailing address
1457 PARDUE MILL RD, DEMOREST, GA 30535-3517
(706) 306-5008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
01/15/2019
Last updated
01/15/2019
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