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General NPI Number Information
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NPI Number | 1619961695
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUTHORITY OF WILKES COUNTY
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 120 GORDON ST
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City | WASHINGTON
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State | GA
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Zip | 30673-1602
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Country | US
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Telephone | 706-678-2151
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Fax | 706-678-1546
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Provider Business Mailing Address
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Address Line | 120 GORDON ST
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City | WASHINGTON
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State | GA
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Zip | 30673-1602
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Country | US
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Telephone | 706-678-2151
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Fax | 706-678-1546
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Authorized Official
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Title or Position | CFO
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Name | TRACIE BURRISS
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Credential |
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Telephone | 706-678-9213
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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 | 157-200
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License Number State | GA
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