Provider Demographics
NPI:1912135823
Name:HEALTHMONT OF GEORGIA, INC
Entity Type:Organization
Organization Name:HEALTHMONT OF GEORGIA, INC
Other - Org Name:ADEL PHYSICIANS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-896-8000
Mailing Address - Street 1:706 N PARRISH AVE
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:GA
Mailing Address - Zip Code:31620-1511
Mailing Address - Country:US
Mailing Address - Phone:229-896-8000
Mailing Address - Fax:229-896-4277
Practice Address - Street 1:308 N PARRISH AVE
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:GA
Practice Address - Zip Code:31620-2353
Practice Address - Country:US
Practice Address - Phone:229-896-8500
Practice Address - Fax:229-896-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty