Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
Internal Medicine of North Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE A SELF (CHIEF FINANCIAL OFFICER)
(706) 276-4741
Entity
Organization
Contact information
Practice address
190 HOSPITAL CIR, ELLIJAY, GA 30540-9694
(706) 698-7400
(706) 698-7401
Mailing address
PO BOX 1019, ELLIJAY, GA 30540-0013
(706) 635-5177
(706) 635-5183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010925
GA
Other
Enumeration date
08/22/2008
Last updated
10/21/2008
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