| North Georgia Family Practice | |
|
60 Old Highway 5 South Ellijay GA 30540-5436 | |
| (706) 276-4741 | |
| (706) 276-4645 |
| Full Name | North Georgia Family Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 60 Old Highway 5 South, Ellijay, Georgia |
| Authorized Official Name and Position | Debbie Ann Self (CFO) |
| Authorized Official Contact | 7062764741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Family Practice Po Box 1019 Ellijay GA 30540-0013 Ph: (706) 276-4741 | North Georgia Family Practice 60 Old Highway 5 South Ellijay GA 30540-5436 Ph: (706) 276-4741 |
| NPI Number | 1013248962 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013248962 | NPI | - | NPPES |
| 118527 | Other | GA | RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 061435 (Georgia) | Primary |
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