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NPI 1538978895

NPI 1538978895 : EMANUEL COUNTY HOSPITAL AUTHORITY : SWAINSBORO, GA

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General NPI Number Information
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    NPI Number           |    1538978895
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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     |    01/02/2025
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    305 KITE RD 
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    City                 |    SWAINSBORO
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    State                |    GA
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    Zip                  |    30401-5771
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    Country              |    US
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    Telephone            |    478-237-7517
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    Fax                  |    478-237-7518
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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            |    478-237-7517
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    Fax                  |    478-237-7518
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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        |    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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