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NPI Code Detail

MEDICARE: MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY

MEDICARE: MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
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
13416L0300XLand Ambulance105-01GA

General Provider Information

NPI Number : 1902177991
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 707 OLD DALTON ELLIJAY RD
Second Line :
City : CHATSWORTH
State : GA
Zip : 30705-2029
Country : US
Telephone Number : 706-695-4564
Fax Number : 706-517-2076
Provider Business Practice Location Address
First Line : 707 OLD DALTON ELLIJAY RD
Second Line :
City : CHATSWORTH
State : GA
Zip : 30705-2029
Country : US
Telephone Number : 706-695-4564
Fax Number : 706-517-2076
Authorized Official
Title or Position : BOARD CHAIRMAN
Name : MR. STEPHEN R RICHARDS
Credential :
Telephone Number : 706-695-5366
Provider Enumeration Date : 01/23/2012
Last Update Date : 02/23/2012

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1679844609 — MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice Location Address:
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Practice Phone: 706-695-4564
Practice Fax: 706-517-2076

Directions to “MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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