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General NPI Number Information
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NPI Number | 1629279666
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 92 BETTYS CREEK RD
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City | DILLARD
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State | GA
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Zip | 30537-2257
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Country | US
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Telephone | 706-746-6571
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Fax | 706-746-5643
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | DILLARD
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State | GA
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Zip | 30537-0444
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Country | US
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Telephone | 706-746-6571
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Fax | 706-746-5643
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CARLIE SUZANNE PENNINGTON
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Credential |
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Telephone | 706-746-6571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 25380
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License Number State | GA
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