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General NPI Number Information
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NPI Number | 1427055821
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Entity Type | Organization
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Legal Business Name | NORTHEAST GEORGIA MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 743 SPRING ST NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3715
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Country | US
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Telephone | 770-219-9000
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Fax | 678-897-6694
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Provider Business Mailing Address
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Address Line | PO BOX 741891
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City | ATLANTA
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State | GA
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Zip | 30374-1891
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Country | US
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Telephone | 770-219-9000
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Fax | 678-897-6694
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Authorized Official
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Title or Position | CFO
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Name | BRIAN D STEINES
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Credential |
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Telephone | 770-219-3562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 069074
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License Number State | GA
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