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General NPI Number Information
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NPI Number | 1790721942
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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 | 06/22/2006
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 675 WHITE SULPHUR RD SUITE 285
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City | GAINESVILLE
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State | GA
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Zip | 30501-8921
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Country | US
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Telephone | 770-219-8899
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Fax | 770-219-8898
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Provider Business Mailing 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 | 770-219-6694
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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