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Contact Information

NORTHEAST GEORGIA MEDICAL HABERSHAM LLC
541 HISTORIC HIGHWAY 441 N
SUITE 1
DEMOREST, GA30535
 Phone: 706-754-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTHEAST GEORGIA MEDICAL HABERSHAM LLC

NPI # 1508644915
LBN Legal business name NORTHEAST GEORGIA MEDICAL HABERSHAM LLC
Authorized official BRIAN STEINES - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2023
Last updated 09/18/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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