# TY COBB REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TY COBB HEALTHCARE SYSTEM INC MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326304486
- **Authorized official:** DEANNA L PEARSON (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (706) 356-7802

## Contact information

- **Practice address:** 367 CLEAR CREEK PARKWAY, LAVONIA, GA 30553
- **Practice address phone:** (706) 245-1850
- **Practice address fax:** (706) 245-1937
- **Mailing address:** 461 COOK ST, ROYSTON, GA 30662-4003
- **Mailing address phone:** (706) 245-1850
- **Mailing address fax:** (706) 245-1937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | GA | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 05/06/2015