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General NPI Number Information
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NPI Number | 1093796443
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Entity Type | Organization
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Legal Business Name | UPSON COUNTY HOSPITAL INC.
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 W GORDON ST
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City | THOMASTON
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State | GA
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Zip | 30286-3426
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Country | US
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Telephone | 706-647-8111
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Fax | 706-647-4389
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Provider Business Mailing Address
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Address Line | PO BOX 1059
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City | THOMASTON
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State | GA
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Zip | 30286-0027
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Country | US
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Telephone | 706-647-8111
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Fax | 706-647-4389
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICE
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Name | JOHNS WILLIAMS
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Credential |
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Telephone | 706-647-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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