National Provider Identifier Database

FANNIN REGIONAL HOSPITAL INC
Radiology


Contact Information

FANNIN REGIONAL HOSPITAL INC
772 MADDOX DR
STE 126
EAST ELLIJAY, GA30540-8194
Phone: 706-273-2105
Fax:
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for FANNIN REGIONAL HOSPITAL INC

NPI Number 1144298548
Legal business name
LBN
FANNIN REGIONAL HOSPITAL INC
Authorized official LAURIE HOLTSFORD - (SENIOR VP, GROUP OPERATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 03/10/2006
Last updated 08/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 055-452

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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