Southern Health Corp of Ellijay

NPI #1407062862 in Ellijay, Georgia

Provider Information

NPI Number
1407062862
Entity Type
Organization
Organization Name
Southern Health Corp of Ellijay
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 15, 2007
Last Updated
Sep 5, 2012

Practice Location

Address
822 INDUSTRIAL BLVD
State
Georgia
ZIP Code
30540-3804
Phone
(706) 635-5177

Authorized Official

Name
DEBRA ANN SELF
Title
CHIEF FINANCIAL OFFICER
Phone
(706) 276-4741

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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