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General NPI Number Information
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NPI Number | 1629342274
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 2418 N OAK ST SUITE F
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City | VALDOSTA
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State | GA
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Zip | 31602-2576
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Country | US
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Telephone | 229-249-9051
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 N OAK ST SUITE F
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City | VALDOSTA
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State | GA
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Zip | 31602-2576
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Country | US
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Telephone | 229-249-9051
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. GREG S HEMBREE
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Credential |
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Telephone | 229-259-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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