# EMANUEL COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMANUEL GASTROENTEROLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952725475
- **Authorized official:** JESSICA JOHNSON (CFO)
- **Authorized official phone:** (478) 289-1376

## Contact information

- **Practice address:** 125C VICTORY DR, SWAINSBORO, GA 30401
- **Practice address phone:** (478) 289-3195
- **Mailing address:** 117 KITE RD, P O BOX 879, SWAINSBORO, GA 30401-3231
- **Mailing address phone:** (478) 289-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 071283 | GA | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 05/18/2018