Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
North Georgia Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE ANN SELF (CHIEF FINANCIAL OFFICER)
(706) 276-4741
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, 822 INDUSTRIAL BLVD; 60 OLD HIGHWAY 5 SOUTH, ELLIJAY, GA 30540-5410
(706) 276-4741
(706) 276-4645
Mailing address
PO BOX 2239, PO BOX 1019, ELLIJAY, GA 30540-0025
(706) 276-4741
(706) 276-4645
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
061435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002043A
—
GA
01
—
1255369005
HAROLD M WATKINS NPI
GA
01
—
1821059510
NPI BRIAN A ROWAN
—
01
—
1952395097
APPLE MEDICAL CENTER
GA
01
—
1982773891
SHANNON PITMAN NPI NUMBER
GA
Enumeration date
09/05/2005
Last updated
06/14/2013
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