| Organization Name: | TY COBB REGIONAL MEDICAL CENTER LLC |
| NPI Number: | 1326304486 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEANNA L PEARSON (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 367 Clear Creek Parkway Lavonia |
| State: | GA US |
| Postal Code: | 30553 |
| Phone Number: | 7062451850 |
| Fax Number: | 7062451937 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |