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General NPI Number Information
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NPI Number | 1710270814
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Entity Type | Organization
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Legal Business Name | GEORGE COUNTY HOSPITAL
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 859 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6603
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Country | US
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Telephone | 601-673-6181
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Fax | 601-766-4293
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Provider Business Mailing Address
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Address Line | 859 WINTER ST
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City | LUCEDALE
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State | MS
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Zip | 39452-6603
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Country | US
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Telephone | 601-673-6181
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Fax | 601-766-4293
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Authorized Official
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Title or Position | DOP
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Name | CARMAN WALLEY
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Credential |
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Telephone | 601-673-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 02122/3.1
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License Number State | MS
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