Hospital Authority of Jeff Davis County Georgia
NPI #1912379082 in Hazlehurst, Georgia
Provider Information
- NPI Number
- 1912379082
- Entity Type
- Organization
- Organization Name
- Hospital Authority of Jeff Davis County Georgia
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GERORGIA
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Jun 14, 2022
Practice Location
- Address
- 9 HESTER ST
- City
- Hazlehurst
- State
- Georgia
- ZIP Code
- 31539-6323
- Phone
- (912) 375-0418
Authorized Official
- Name
- BARRY BLOOM
- Title
- CEO
- Phone
- (912) 375-7781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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