Memorial Health Partners Foundation, Inc.

NPI #1669861530 in La Fayette, Georgia

Provider Information

NPI Number
1669861530
Entity Type
Organization
Organization Name
Memorial Health Partners Foundation, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MEMORIAL HEALTH PARTNERS FOUNDATION, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 15, 2015
Last Updated
Jan 15, 2015

Practice Location

Address
611 E VILLANOW ST
State
Georgia
ZIP Code
30728-2618
Phone
(706) 638-1606

Authorized Official

Name
RAMON FIGUEROA
Title
DIRECTOR PHYSICIAN OPERATIONS
Phone
(423) 424-1551

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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