| First Mountain Medical, Llc | |
|
640 West Church St Jasper GA 30143 | |
| (706) 253-3737 | |
| (706) 253-3747 |
| Full Name | First Mountain Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 West Church St, Jasper, Georgia |
| Authorized Official Name and Position | Traci Renee Harris (OWNER) |
| Authorized Official Contact | 7708944939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Mountain Medical, Llc 640 West Church St Jasper GA 30143 Ph: (706) 253-3737 | First Mountain Medical, Llc 640 West Church St Jasper GA 30143 Ph: (706) 253-3737 |
| NPI Number | 1932400520 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932400520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 59919 (Georgia) | Primary |
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