# CHATTAHOOCHEE VALLEY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHATTAHOOCHEE VALLEY HOSPITAL
- **Other names:** LANIER MEDICAL PAVILION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447423082
- **Legal business name:** CHATTAHOOCHEE VALLEY HOSPITAL
- **Authorized official:** MR. THOMAS M LANE (CFO)
- **Authorized official phone:** (334) 756-1050

## Contact information

- **Practice address:** 267 FOB JAMES DRIVE, VALLEY, AL 36854-5079
- **Practice address phone:** (334) 756-4860
- **Practice address fax:** (334) 756-4866
- **Mailing address:** PO BOX 1000, 267 FOB JAMES DRIVE, VALLEY, AL 36854-1000
- **Mailing address phone:** (334) 756-4860
- **Mailing address fax:** (334) 756-4866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/03/2008
- **Last updated:** 02/29/2012