Provider Demographics
NPI:1588028591
Name:PARTNERS IN HEALTH MANAGEMENT, LLC
Entity type:Organization
Organization Name:PARTNERS IN HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLMON SCRUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:229-474-4101
Mailing Address - Street 1:202 WEST GORDON STREET
Mailing Address - Street 2:SUITE - A
Mailing Address - City:ADEL
Mailing Address - State:GA
Mailing Address - Zip Code:31601-4565
Mailing Address - Country:US
Mailing Address - Phone:229-474-4101
Mailing Address - Fax:229-349-6006
Practice Address - Street 1:202 WEST GORDON STREET
Practice Address - Street 2:SUITE - A
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31601-4565
Practice Address - Country:US
Practice Address - Phone:229-474-4101
Practice Address - Fax:229-349-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN054469261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service