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General NPI Number Information
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NPI Number | 1750776571
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Entity Type | Organization
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Legal Business Name | ADVENTIST HEALTH SYSTEM GEORGIA, INC.
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 707 OLD DALTON ELLIJAY RD
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City | CHATSWORTH
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State | GA
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Zip | 30705-2029
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Country | US
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Telephone | 706-695-4564
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Fax | 706-517-2076
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Provider Business Mailing Address
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Address Line | 707 OLD DALTON ELLIJAY RD
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City | CHATSWORTH
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State | GA
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Zip | 30705-2029
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Country | US
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Telephone | 706-695-4564
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Fax | 706-517-2076
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CHRISTOPHER SELF
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Credential |
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Telephone | 706-879-4710
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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 | 105575
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License Number State | GA
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