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ELBERT MEMORIAL HOSPITAL NPI 1124488291


NPI Information

NPI: 1124488291
Provider Name: ELBERT MEMORIAL HOSPITAL

Doing Business As: LAKE RUSSELL SPECIALTY HEALTHCARE SERVICES

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
46 LAUREL DR
ELBERTON, GA
ZIP 30635
Phone: (706) 213-2579
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ELBERT MEMORIAL HOSPITAL is an obstetrics gynecology in Elberton, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ELBERT MEMORIAL HOSPITAL NPI is 1124488291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Russell Specialty Healthcare Services.

The provider's business location address is:

46 LAUREL DR
ELBERTON, GA
ZIP 30635-842
Phone: (706) 213-2579

The provider's authorized official is Brandon Clary .
The authorized official title is Ceo and has the following contact phone number (706) 213-2535.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 3/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNo
2208600000XSurgeryNo
3207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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