1245519511 REHOBOTH MIRACLE LLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- REHOBOTH MIRACLE LLC
- Enumeration Date
- August 4, 2011
- Last Update
- August 4, 2011
- Authorized Official
- MRS. DEBRAH OLIVE ANN RAMSAY COLL CERT IND REL
PRESIDENT
Phone: (678) 712-6073
Practice Location
- Address
- 140 SHIVER BLVD
COVINGTON, GA 300161399 - Phone
- (678) 712-6073
Mailing Address
- Address
- 140 SHIVER BLVD
COVINGTON, GA 300161399 - Phone
- (678) 712-6073
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | 107 R 0894 | GA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107 R 0894 | 01 | GA | GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
Frequently Asked Questions
What is REHOBOTH MIRACLE LLC's NPI number?
REHOBOTH MIRACLE LLC's NPI number is 1245519511.
Which doctor has NPI number 1245519511?
The doctor with NPI number 1245519511 is REHOBOTH MIRACLE LLC.
What is REHOBOTH MIRACLE LLC's practice address?
REHOBOTH MIRACLE LLC's practice address is 140 SHIVER BLVD, COVINGTON, GA, 300161399.
Which doctor practices at 140 SHIVER BLVD, COVINGTON, GA, 300161399?
REHOBOTH MIRACLE LLC practices at 140 SHIVER BLVD, COVINGTON, GA, 300161399.
What is REHOBOTH MIRACLE LLC's phone number?
REHOBOTH MIRACLE LLC's phone number is (678) 712-6073.
Who is (678) 712-6073?
(678) 712-6073 is the phone number for REHOBOTH MIRACLE LLC.
What is REHOBOTH MIRACLE LLC's specialty?
REHOBOTH MIRACLE LLC's specialty is Exclusive Provider Organization.
What type of doctor is REHOBOTH MIRACLE LLC?
REHOBOTH MIRACLE LLC is a Exclusive Provider Organization.
Is REHOBOTH MIRACLE LLC a Exclusive Provider Organization?
Yes, REHOBOTH MIRACLE LLC is a Exclusive Provider Organization.
Is REHOBOTH MIRACLE LLC still practicing?
Yes, REHOBOTH MIRACLE LLC is currently practicing.
Is REHOBOTH MIRACLE LLC accepting new patients?
REHOBOTH MIRACLE LLC may be accepting new patients. Please call their office at (678) 712-6073 to inquire about availability.
Is NPI 1245519511 still active?
Yes, NPI 1245519511 is currently active.
Where does REHOBOTH MIRACLE LLC practice?
REHOBOTH MIRACLE LLC practices in COVINGTON, GA.