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General NPI Number Information
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NPI Number | 1194712083
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Entity Type | Organization
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Legal Business Name | TMC/HIGGINS GENERAL HOSPITAL
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 200 ALLEN MEMORIAL DR
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City | BREMEN
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State | GA
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Zip | 30110-2012
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Country | US
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Telephone | 770-824-2000
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Fax | 770-824-2309
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Provider Business Mailing Address
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Address Line | 200 ALLEN MEMORIAL DR
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City | BREMEN
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State | GA
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Zip | 30110-2012
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Country | US
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Telephone | 770-824-2000
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Fax | 770-824-2309
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Authorized Official
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Title or Position | CFO
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Name | MR. LEE C. SHERSETH
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Credential |
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Telephone | 770-836-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | GA
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