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General NPI Number Information
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NPI Number | 1770575003
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Entity Type | Organization
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Legal Business Name | MEADOWS REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | ONE MEADOWS PARKWAY
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City | VIDALIA
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State | GA
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Zip | 30474
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Country | US
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Telephone | 912-535-5555
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Fax | 912-538-5351
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Provider Business Mailing Address
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Address Line | ONE MEADOWS PARKWAY
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City | VIDALIA
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State | GA
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Zip | 30474
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Country | US
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Telephone | 912-535-5555
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Fax | 912-538-5351
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Authorized Official
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Title or Position | CFO
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Name | TONY M O'STEEN
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Credential |
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Telephone | 912-535-8691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 138-476
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License Number State | GA
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