Organization · Type 2 NPI
Evernorth Direct Health LLC
Clinic/Center · Lyerly, GA
NPI number
1003512393
Active
Practice location
5081 Highway 114
Lyerly, GA 30730-4585
Fax (706) 895-2583
Mailing address
8888 E Raintree Dr
Scottsdale, AZ 85260-3951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1003512393
Evernorth Direct Health LLC's National Provider Identifier is 1003512393, issued on Feb 7, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lyerly, GA. The record was last updated on Feb 7, 2023.