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General NPI Number Information
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NPI Number | 1790106623
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Entity Type | Organization
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Legal Business Name | OCONEE VALLEY HEALTHCARE INC
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 60 GA HIGHWAY 22 W
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-6606
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Country | US
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Telephone | 706-454-5175
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Fax | 478-295-0679
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Provider Business Mailing Address
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Address Line | 803 S MAIN ST
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City | GREENSBORO
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State | GA
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Zip | 30642-1211
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Country | US
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Telephone | 706-453-1201
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Fax | 706-454-0337
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVE RINGER
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Credential | M.D.
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Telephone | 706-453-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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