Healthcare Provider Details

I. General information

NPI: 1558811943
Provider Name (Legal Business Name): CHATUGE REGIONAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 09/02/2025
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 FIREWATER LN
SUCHES GA
30572-2941
US

IV. Provider business mailing address

35 HOSPITAL RD
BLAIRSVILLE GA
30512-3139
US

V. Phone/Fax

Practice location:
  • Phone: 706-747-1036
  • Fax: 706-747-1046
Mailing address:
  • Phone: 706-747-1036
  • Fax: 706-747-1046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICK TOWNSEND
Title or Position: CFO
Credential:
Phone: 706-439-6469