Organization · Type 2 NPI

Southern Health Corp of Ellijay

Rural Health Clinic/Center · Ellijay, GA

NPI number 1407062862 Active

Practice location

822 Industrial Blvd
Ellijay, GA 30540-3804

Call (706) 635-5177 Map

Mailing address

PO Box 1019
Ellijay, GA 30540-0013

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

Other rural health clinic/center providers in Ellijay

Southern Health Corp of EllijayRural Health Clinic/Center Ellijay, GA NPI 1013248962

See all in Ellijay →

NPI record

NPI: 1407062862
Entity type: Organization (Type 2)
Issued: May 15, 2007
Last updated: Sep 5, 2012
Status: Active
Subpart: Yes of Southern Health Corp of Ellijay

Other names

<unavail>
Apple Medical Center · doing business as

Authorized official

Debra Ann Self
Chief Financial Officer
(706) 276-4741

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.

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About NPI 1407062862

Southern Health Corp of Ellijay's National Provider Identifier is 1407062862, issued on May 15, 2007. 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 Sep 5, 2012.