Fci Jesup

NPI #1508538679 in Jesup, Georgia

Provider Information

NPI Number: 1508538679
Entity Type: Organization
Organization Name: Fci Jesup
Subpart: Yes (part of a larger organization)
Parent Organization: FEDERAL BUREAU OF PRISONS
Primary Specialty: Clinic/Center - Prison Health
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 2600 HIGHWAY 301 SOUTH
City: Jesup
State: Georgia
ZIP Code: 31599-0001
Phone: (912) 427-0870

Authorized Official

Name: DR. PATRICK TULLY
Title: CHIEF PHARMACIST
Phone: (912) 427-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Clinic Pharmacy — Clinic Pharmacy	3336C0002X
Clinic/Center - Prison Health — Prison Health	261QP2400X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Leonor Nmn Bonnet-Engebretson, M.D.	Clinic/Center - Prison Health	Atlanta	AI Deep Dive
MRS. Marie Angella Pitt, NP	Clinic/Center - Prison Health	Buford	AI Deep Dive
Kristi M Thompson, PT	Physical Therapist	Jesup	AI Deep Dive

Organizations

Provider Name	Specialty	City
Medical College of Georgia	Clinic/Center - Prison Health	Sparta	AI Deep Dive
Hospital Authority of Wayne County Georgia Part of Hospital Authority of Wayne County Georgia	Home Health	Jesup	AI Deep Dive

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