# REGION XI FIELD FISCAL OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700442753
- **Authorized official:** GINA MORRIS (ACCOUNTANT)
- **Authorized official phone:** (912) 389-4691

## Contact information

- **Practice address:** 1400 PETERSON AVE N STE D, DOUGLAS, GA 31533-2833
- **Practice address phone:** (912) 389-4691
- **Mailing address:** PO BOX 690, DOUGLAS, GA 31534-0690
- **Mailing address phone:** (912) 389-4691
- **Mailing address fax:** (912) 389-4996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 05/15/2019