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General NPI Number Information
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NPI Number | 1598990376
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Entity Type | Organization
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Legal Business Name | PHOEBE SUMTER MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 126 HWY 280 W
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City | AMERICUS
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State | GA
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Zip | 31719-8645
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Country | US
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Telephone | 229-312-6761
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Fax | 229-312-6705
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Provider Business Mailing Address
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Address Line | 126 HWY 280 W
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City | AMERICUS
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State | GA
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Zip | 31719-8645
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Country | US
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Telephone | 229-312-6761
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Fax | 229-312-6705
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Authorized Official
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Title or Position | SR. VP / CFO
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Name | MR. KERRY L LOUDERMILK
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Credential |
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Telephone | 229-312-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State | GA
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