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Organization
HEALTHSPAN LLP
Active
Organization
HEALTHSPAN LLP
Active
Other names
Burke Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A ROYAL (ADMINISTRATOR)
(706) 554-4435
Entity
Organization
Contact information
Practice address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
(706) 554-4435
(706) 554-4435
Mailing address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
(706) 554-4435
(706) 554-4435
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
017563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000283A
—
GA
Enumeration date
12/13/2005
Last updated
08/21/2007
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