EVERNORTH DIRECT HEALTH LLC is a non pharmacy dispensing site in Dalton, GA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) EVERNORTH DIRECT HEALTH LLC NPI is 1750659363. The provider is registered as an organization entity type.
The provider Is Doing Business As Mohawk Healthy Life Center - Green Street.
The provider's business location address is:
508 E MORRIS ST
DALTON, GA
ZIP 30721-403
Phone: (706) 272-1465
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.
The CLIA number assigned to this NPI record is 11D2115526 - other - outpatient with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/9/2011 and was last updated on 5/3/2021.