Organization
ICH PHYSICIAN GROUP
Active
Organization
ICH PHYSICIAN GROUP
Active
Other names
Irwin Surgical Medical, IRWIN COUNTY HOSPITAL AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CARVER (CFO)
(229) 468-3846
Entity
Organization
Contact information
Practice address
2016 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-4010
(912) 384-4018
Mailing address
710 N IRWIN AVE, OCILLA, GA 31774-5011
(229) 468-3800
(229) 468-9991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
02/27/2025
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