# STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC
- **Other names:** SCHPG-Surgical Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588392518
- **Legal business name:** STEPHENS COUNTY HOSPITAL PHYSICIAN GROUP, LLC
- **Authorized official:** THOMAS LOSKOSKI (CEO)
- **Authorized official phone:** (706) 282-5841

## Contact information

- **Practice address:** 125 W GIBSON ST, HARTWELL, GA 30643-1848
- **Practice address phone:** (706) 856-6983
- **Mailing address:** 125 W GIBSON ST, HARTWELL, GA 30643-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/09/2022