Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
Craig Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBBIE ANN SELF (CFO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
61 HIGHLAND CT, SUITE 101, EAST ELLIJAY, GA 30540-6777
(706) 698-4362
(706) 698-4366
Mailing address
PO BOX 1019, ELLIJAY, GA 30540-0013
(706) 635-5177
(706) 635-5183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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