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Organization
SOUTHERN REGIONAL MEDICAL CENTER INC
Active
Organization
SOUTHERN REGIONAL MEDICAL CENTER INC
Active
Other names
Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD STOVALL (CHIEF FINANCIAL OFFICER)
(770) 991-8165
Entity
Organization
Contact information
Practice address
224 E COLLEGE ST, GRIFFIN, GA 30224-4348
(770) 991-8662
(770) 991-8663
Mailing address
11 UPPER RIVERDALE RD SW, BUILDING 25, RIVERDALE, GA 30274-2615
(770) 991-8662
(770) 991-8663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
02/20/2007
Last updated
04/09/2008
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