EVERNORTH DIRECT HEALTH LLC NPI 1578831665

NPI Information

EVERNORTH DIRECT HEALTH LLC is a non pharmacy dispensing site in Lyerly, 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 1578831665. The provider is registered as an organization entity type.
The provider Is Doing Business As Mohawk Healthy Life Center - Lyerly.

The provider's business location address is:

5081 HIGHWAY 114
LYERLY, GA
ZIP 30730-585
Phone: (800) 241-4900

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 enumeration date for this NPI number is 12/5/2011 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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