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General NPI Number Information
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NPI Number | 1912021684
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Entity Type | Organization
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Legal Business Name | MEADOWS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 1703 MEADOWS LN
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City | VIDALIA
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State | GA
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Zip | 30474-8915
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Country | US
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Telephone | 912-538-5872
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1048
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City | VIDALIA
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State | GA
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Zip | 30475-1048
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Country | US
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Telephone | 912-538-5872
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. MICHELLE MOSLEY COX
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Credential |
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Telephone | 912-538-5872
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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 | PHH004204
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License Number State |
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