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General NPI Number Information
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NPI Number | 1245135540
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Entity Type | Organization
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Legal Business Name | EAST GEORGIA REGIONAL MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 8 COACH LEE HILL BLVD
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City | STATESBORO
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State | GA
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Zip | 30458-4786
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Country | US
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Telephone | 912-764-5656
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Fax | 912-871-2354
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Provider Business Mailing Address
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Address Line | 1499 FAIR RD
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City | STATESBORO
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State | GA
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Zip | 30458-1683
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Country | US
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Telephone | 912-786-1000
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | PAULA LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | NULL
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