Organization Name: | EARLY MEMORIAL HOSPITAL |
NPI Number: | 1386675817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES D HIGHTOWER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 11168 Columbia St Suite B Blakely |
State: | GA US |
Postal Code: | 398233474 |
Phone Number: | 2297234313 |
Fax Number: | 2297233734 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 4945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |