Southern Health Corp of Ellijay

NPI #1790932655 in Ellijay, Georgia

Provider Information

NPI Number: 1790932655
Entity Type: Organization
Organization Name: Southern Health Corp of Ellijay
Primary Specialty: Internal Medicine
Enumeration Date: Aug 22, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 190 HOSPITAL CIR
City: Ellijay
State: Georgia
ZIP Code: 30540-9694
Phone: (706) 698-7400

Authorized Official

Name: MS. DEBBIE A SELF
Title: CHIEF FINANCIAL OFFICER
Phone: (706) 276-4741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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