| Organization Name: | BROOKS COUNTY HOSPITAL |
| NPI Number: | 1063841138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES HIGHTOWER (CFO) |
| Mailing Address: | 1309 W Screven St Quitman |
| State: | GA US |
| Postal Code: | 316431819 |
| Phone Number: | 2292637868 |
| Fax Number: | 2292638746 |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |