MEMORIAL HEALTH PARTNERS FOUNDATION, INC. is a non pharmacy dispensing site in La Fayette, 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.) MEMORIAL HEALTH PARTNERS FOUNDATION, INC. NPI is 1669861530. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Park Associates.
The provider's business location address is:
611 E VILLANOW ST
LA FAYETTE, GA
ZIP 30728-618
Phone: (706) 638-1606
Fax: (706) 638-9987
The provider's authorized official is Ramon Figueroa .
The authorized official title is Director Physician Operations and has the following contact phone number (423) 424-1551.
The CLIA number assigned to this NPI record is 11D0680340 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.