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Organization
MACON COUNTY COMMUNITY HOSPITAL, INC.
Active
Organization
MACON COUNTY COMMUNITY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP EASTMAN III (CHIEF EXECUTIVE OFFICER)
(478) 472-3100
Entity
Organization
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-2412
Mailing address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-2412
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
094-391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000149487A
—
GA
Enumeration date
10/12/2010
Last updated
10/13/2010
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