Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Dalton, GA

NPI number 1336844679 Active

Practice location

2100 S Hamilton St
Dalton, GA 30720-5349

Call (706) 272-1415 Map

Fax (706) 272-1422

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

Kimberly Anne Griffin, PA-CMedical Physician Assistant Dalton, GA NPI 1356361034

Other clinic/center providers in Dalton

See all in Dalton →

NPI record

NPI: 1336844679
Entity type: Organization (Type 2)
Issued: Apr 4, 2023
Last updated: Apr 4, 2023
Status: Active
Subpart: Yes of Evernorth Direct Health LLC

Other names

Mohawk HLC Industrial Park · other name

Authorized official

Deborah Sue Coolidge
Financial Analysis Senior Manager
(623) 277-1170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1336844679

Evernorth Direct Health LLC's National Provider Identifier is 1336844679, issued on Apr 4, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Dalton, GA. The record was last updated on Apr 4, 2023.