Family Practice of Habersham PC

NPI #1093717357 in Demorest, Georgia

Provider Information

NPI Number: 1093717357
Entity Type: Organization
Organization Name: Family Practice of Habersham PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 1, 2005
Last Updated: Jan 4, 2012

Practice Location

Address: 590 HISTORIC HWY 441 N
City: Demorest
State: Georgia
ZIP Code: 30535
Phone: (706) 754-5511

Authorized Official

Name: MS. BEVERLY CAROL CARTER, BS
Title: PRACTICE MANAGER
Phone: (706) 754-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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