Coffee Regional Medical Center, INC

NPI #1437120946 in Douglas, Georgia

Provider Information

NPI Number: 1437120946
Entity Type: Organization
Organization Name: Coffee Regional Medical Center, INC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 1, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1101 OCILLA RD
City: Douglas
State: Georgia
ZIP Code: 31533-2207
Phone: (912) 384-1900

Authorized Official

Name: MINDY LOTT
Title: OFFICE ADMINISTRATOR
Phone: (912) 384-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Nurse Anesthetist, Certified Registered	367500000X

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