# HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
- **Other names:** Telfair Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619693454
- **Legal business name:** HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
- **Authorized official:** BARRY BLOOM (CEO)
- **Authorized official phone:** (912) 375-7781

## Contact information

- **Practice address:** 134 EIGHTH ST, MC RAE HELENA, GA 31037-3846
- **Practice address phone:** (229) 868-8203
- **Mailing address:** 134 EIGHTH ST, MC RAE HELENA, GA 31037-3846

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2022
- **Last updated:** 10/13/2022