Organization
MEDLINK GEORGIA INC
Active
Parent organization
MEDLINK GEORGIA INC
Other names
Medlink Habersham
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDLINK GEORGIA INC
Authorized official
DAVID WARD (CEO)
(706) 788-3234
Entity
Organization
Contact information
Practice address
396 HISTORIC HWY 441 N, DEMOREST, GA 30535-4522
(706) 754-4348
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141329A
—
GA
Enumeration date
12/06/2013
Last updated
05/03/2022
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