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General NPI Number Information
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NPI Number | 1457478950
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Entity Type | Organization
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Legal Business Name | BACON COUNTY HOSPITAL AND HEALTH SYSTEM
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 302 S WAYNE ST
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City | ALMA
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State | GA
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Zip | 31510-2922
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Country | US
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Telephone | 912-632-8961
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Fax | 912-632-2231
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Provider Business Mailing Address
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Address Line | 302 S WAYNE ST
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City | ALMA
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State | GA
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Zip | 31510-2922
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Country | US
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Telephone | 912-632-8961
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Fax | 912-632-2231
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. RICHARD KYLE LOTT
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Credential | PHARM D
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Telephone | 912-632-8961
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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 |
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