Crisp Rgnl Hosp INC

NPI #1356547145 in Hawkinsville, Georgia

Provider Information

NPI Number
1356547145
Entity Type
Organization
Organization Name
Crisp Rgnl Hosp INC
Subpart
Yes (part of a larger organization)
Parent Organization
CRISP REGIONAL HOSPITAL INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 27, 2007
Last Updated
Dec 18, 2007

Practice Location

Address
440 INDUSTRIAL BLVD
State
Georgia
ZIP Code
31036
Phone
(478) 783-4988

Authorized Official

Name
MARK PETERMANN
Title
ADMINISTRATOR
Phone
(229) 273-1481

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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