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General NPI Number Information
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NPI Number | 1740319623
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUTHORITY OF WASHINGTON COUNTY
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 601 FERNCREST DR SUITE B
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1800
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Country | US
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Telephone | 478-552-0006
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Fax | 478-552-0010
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Provider Business Mailing Address
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Address Line | 601 FERNCREST DR SUITE B
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1800
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Country | US
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Telephone | 478-552-0006
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Fax | 478-552-0010
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Authorized Official
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Title or Position | CEO
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Name | PAMELA L STEWART
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Credential |
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Telephone | 478-240-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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