Organization Name: | JEFF DAVIS URGENT CARE |
NPI Number: | 1134535305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY CASON (CFO) |
Mailing Address: | 22 Cross St Hazlehurst |
State: | GA US |
Postal Code: | 315396426 |
Phone Number: | 9123754484 |
Fax Number: | 9123754881 |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |