# HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629596853
- **Authorized official:** KAREN FAIRCLOTH (CFO)
- **Authorized official phone:** (229) 246-8211

## Contact information

- **Practice address:** 603 WHEAT AVE STE 450, BAINBRIDGE, GA 39819-4365
- **Practice address phone:** (229) 243-7707
- **Mailing address:** 1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
- **Mailing address phone:** (229) 243-1700
- **Mailing address fax:** (229) 246-9322

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 09/08/2017