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Organization

LIFEBRITE HOSPITAL GROUP OF EARLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORGAN DUNN (CHIEF EXECUTIVE OFFICER)
(601) 849-6440
Entity
Organization

Contact information

Practice address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574
(229) 723-4841
Mailing address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009691
GA
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
04/06/2017
Last updated
10/11/2024
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