Ty Cobb Regional Medical Center, INC

NPI #1538425210 in Lavonia, Georgia

Provider Information

NPI Number: 1538425210
Entity Type: Organization
Organization Name: Ty Cobb Regional Medical Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: TY COBB REGIONAL MEDICAL CENTER
Primary Specialty: Pharmacy
Enumeration Date: Apr 6, 2012
Last Updated: Apr 6, 2012

Practice Location

Address: 367 CLEARCREEK PARKWAY
City: Lavonia
State: Georgia
ZIP Code: 30553
Phone: (706) 245-1270

Authorized Official

Name: MRS. DONNA D TONEY, RPH
Title: DIRECTOR OF PHARMACY
Phone: (706) 245-1270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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