Organization · Type 2 NPI
Southern Health Corp of Ellijay
Rural Health Clinic/Center · Ellijay, GA
NPI number
1013248962
Active
Practice location
60 Old Highway 5 South
Ellijay, GA 30540-5436
Fax (706) 276-4645
Mailing address
PO Box 1019
Ellijay, GA 30540-0013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 061435 (GA) |
Rural Health Clinic/Center: Definition to come...
Other rural health clinic/center providers in Ellijay
About NPI 1013248962
Southern Health Corp of Ellijay's National Provider Identifier is 1013248962, issued on Jan 15, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ellijay, GA. The record was last updated on Jan 28, 2015.