Organization
THE MEDICAL CENTER OF ELBERTON, LLP
Active
Organization
THE MEDICAL CENTER OF ELBERTON, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE S HALL (PRACTICE ADMINISTRATOR)
(706) 283-3315
Entity
Organization
Contact information
Practice address
109 COLLEGE AVE, ELBERTON, GA 30635-1705
(706) 283-3315
(706) 283-2159
Mailing address
109 COLLEGE AVE, ELBERTON, GA 30635-1705
(706) 283-3315
(706) 283-2159
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
11-3958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000124G
—
GA
Enumeration date
12/01/2006
Last updated
01/06/2010
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