| Organization Name: | OCCUPATIONAL HEALTH CENTERS OF GEORGIA PC |
| NPI Number: | 1174958987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM TOM FOGARTY (PRESIDENT) |
| Mailing Address: | 1146 Elma G. Miles Pkwy. Ste. 103 Hinesville |
| State: | GA US |
| Postal Code: | 31313 |
| Phone Number: | 9123689355 |
| Fax Number: | 9123689360 |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |