| Organization Name: | HOSPITAL AUTHORITY OF RANDOLPH COUNTY |
| NPI Number: | 1699769166 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM GILMAN (CEO) |
| Mailing Address: | 361 Randolph St Cuthbert |
| State: | GA US |
| Postal Code: | 398406127 |
| Phone Number: | 2297322181 |
| Fax Number: | 2297326759 |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 040908 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |