# HOSPITAL AUTHORITY OF IRWIN COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irwin Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518357607
- **Authorized official:** KRYSTAL CARVER (CFO)
- **Authorized official phone:** (229) 468-3846

## Contact information

- **Practice address:** 602 N IRWIN AVE, OCILLA, GA 31774-5010
- **Practice address phone:** (229) 468-0711
- **Practice address fax:** (229) 468-0714
- **Mailing address:** 710 N IRWIN AVE, OCILLA, GA 31774-5011
- **Mailing address phone:** (229) 468-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 02/27/2025