Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
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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