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General NPI Number Information
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NPI Number | 1538877758
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Entity Type | Organization
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Legal Business Name | EMANUEL COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 117 KITE RD
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City | SWAINSBORO
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State | GA
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Zip | 30401-3231
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Country | US
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Telephone | 478-289-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 879
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City | SWAINSBORO
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State | GA
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Zip | 30401-0879
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Country | US
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Telephone | 478-289-1100
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JESSICA JOHNSON
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Credential |
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Telephone | 478-289-1376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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