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Organization
HOSPITALMD OF EAST GEORGIA IP INC
Active
Organization
HOSPITALMD OF EAST GEORGIA IP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ZONDERVAN (VICE PRESIDENT)
(888) 898-3294
Entity
Organization
Contact information
Practice address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-2611
Mailing address
PO BOX 896140, CHARLOTTE, NC 28289-6140
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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