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Organization

MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY

Active
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Organization

MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY

Active
Other names
Morgan Mem Hosp Phcy
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH CASTILLO (CEO)
(706) 342-1667
Entity
Organization

Contact information

Practice address
1077 S MAIN ST, MADISON, GA 30650-2073
(706) 342-1667
(706) 342-2046
Mailing address
1077 S MAIN ST, MADISON, GA 30650-2073
(706) 342-1667
(706) 342-2046

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHH003657
GA

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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