Fannin Physician Services LLC

NPI #1972994499 in Blue Ridge, Georgia

Provider Information

NPI Number: 1972994499
Entity Type: Organization
Organization Name: Fannin Physician Services LLC
Primary Specialty: Hospitalist
Enumeration Date: Feb 6, 2015
Last Updated: Jul 11, 2017

Practice Location

Address: 2855 OLD HIGHWAY 5
City: Blue Ridge
State: Georgia
ZIP Code: 30513-6248
Phone: (800) 893-9698

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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