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NPI Code Detail

MEDICARE: PHOEBE PUTNEY MEMORIAL HOSPITAL

MEDICARE: PHOEBE PUTNEY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory047-003GA

General Provider Information

NPI Number : 1699773077
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOEBE PUTNEY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 417 W 3RD AVE
Second Line :
City : ALBANY
State : GA
Zip : 31701-1943
Country : US
Telephone Number : 229-312-6198
Fax Number : 229-312-6105
Provider Business Practice Location Address
First Line : 417 W 3RD AVE
Second Line : LABORATORY
City : ALBANY
State : GA
Zip : 31701-1943
Country : US
Telephone Number : 229-312-6198
Fax Number : 229-312-6105
Authorized Official
Title or Position : CFO
Name : MR. KERRY LOUDERMILK
Credential :
Telephone Number : 229-312-4068
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/22/2020

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Directions to “PHOEBE PUTNEY MEMORIAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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