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NPI Code Detail

MEDICARE: LOWER OCONEE COMMUNITY HOSPITAL, INC.

MEDICARE: LOWER OCONEE COMMUNITY HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1760750467
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWER OCONEE COMMUNITY HOSPITAL, INC.
Provider Business Mailing Address
First Line : 421 W ROBINSON DRIVE
Second Line :
City : MOUNT VERNON
State : GA
Zip : 30445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 421 W ROBINSON DRIVE
Second Line :
City : MOUNT VERNON
State : GA
Zip : 30445
Country : US
Telephone Number : 912-583-4739
Fax Number : 912-583-4774
Authorized Official
Title or Position : CEO
Name : PEYTON A SMITH
Credential :
Telephone Number : 912-523-5113
Provider Enumeration Date : 12/08/2011
Last Update Date : 12/08/2011

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Directions to “LOWER OCONEE COMMUNITY HOSPITAL, INC. ” Practice Location

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