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General NPI Number Information
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NPI Number | 1477677698
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Entity Type | Organization
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Legal Business Name | THE MEDICAL CENTER OF PEACH COUNTY, INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1960 HWY 247 CONNECTOR
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City | BYRON
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State | GA
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Zip | 31008-5663
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Country | US
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Telephone | 478-654-2000
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Fax | 478-654-2001
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Provider Business Mailing Address
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Address Line | 1960 HWY 247 CONNECTOR
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City | BYRON
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State | GA
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Zip | 31008-5663
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Country | US
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Telephone | 478-654-2000
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Fax | 478-654-2001
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Authorized Official
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Title or Position | CFO
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Name | PHILIP WHEELER
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Credential |
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Telephone | 706-509-3012
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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 | 11Z310
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License Number State | GA
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