Organization
HEALTHIE GEORGIA INC
Active
Other names
HealtHIE Georgia Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RENFRO (EXECUTIVE DIRECTOR)
(904) 382-0925
Entity
Organization
Contact information
Practice address
456 BULL FROG LN, CLAYTON, GA 30525-4064
(706) 782-0764
(706) 782-9837
Mailing address
456 BULL FROG LN, CLAYTON, GA 30525-4064
(706) 782-0764
(706) 782-9837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332370125G
—
GA
Enumeration date
12/18/2019
Last updated
09/17/2025
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