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Organization

MGHP-BRENTWOOD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A PARKER (MEMBER OF LLC)
(678) 480-7564
Entity
Organization

Contact information

Practice address
115 BRENTWOOD DR, WAYNESBORO, GA 30830-4519
(706) 554-4425
Mailing address
115 BRENTWOOD DR, WAYNESBORO, GA 30830-4519
(706) 554-4425

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
03/10/2023
Last updated
03/10/2023
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