Evernorth Direct Health LLC

NPI #1649563230 in Calhoun, Georgia

Provider Information

NPI Number
1649563230
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
May 16, 2011
Last Updated
May 3, 2021

Practice Location

Address
450 CLARENCE KING PKWY
State
Georgia
ZIP Code
30701-3628
Phone
(706) 624-3695

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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