Evernorth Direct Health LLC

NPI #1649545773 in Calhoun, Georgia

Provider Information

NPI Number
1649545773
Entity Type
Organization
Organization Name
Evernorth Direct Health LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 22, 2012
Last Updated
May 3, 2021

Practice Location

Address
3032 SUGAR VALLEY RD
State
Georgia
ZIP Code
30701
Phone
(706) 624-4661

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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