Er Physician Group at Jackson Hospital

NPI #1407801194 in Marianna, Florida

Provider Information

NPI Number: 1407801194
Entity Type: Organization
Organization Name: Er Physician Group at Jackson Hospital
Primary Specialty: General Practice
Enumeration Date: May 23, 2006
Last Updated: Jan 23, 2023

Practice Location

Address: 4250 HOSPITAL DR
City: Marianna
State: Florida
ZIP Code: 32446-1917
Phone: (850) 526-2200

Authorized Official

Name: MRS. KELLY CONNOLLY
Title: CFO
Phone: (850) 718-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Clinic/Center - Rural Health — Rural Health	261QR1300X
General Acute Care Hospital - Rural — Rural	282NR1301X
General Practice	208D00000X	Primary

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