Provider Demographics
NPI:1932548096
Name:HEALTH ASSOCIATES OF GEORGIA, INC.
Entity Type:Organization
Organization Name:HEALTH ASSOCIATES OF GEORGIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:PARADELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-975-7471
Mailing Address - Street 1:317 RESOURCE PKWY
Mailing Address - Street 2:UNIT 4B
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-8364
Mailing Address - Country:US
Mailing Address - Phone:678-975-7471
Mailing Address - Fax:678-975-7055
Practice Address - Street 1:317 RESOURCE PKWY
Practice Address - Street 2:UNIT 4B
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-8364
Practice Address - Country:US
Practice Address - Phone:678-975-7471
Practice Address - Fax:678-975-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA65434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty