Organization
PUTNAM GENERAL HOSPITAL MEDICAL ASSOCIATES, LLC
Active
Organization
PUTNAM GENERAL HOSPITAL MEDICAL ASSOCIATES, LLC
Active
Other names
PGH Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL M OGLESBY (ADMINISTRATOR)
(706) 923-2002
Entity
Organization
Contact information
Practice address
1000 COWLES CLINIC WAY, STE W-2, GREENSBORO, GA 30642-4539
(706) 999-0270
(706) 999-0274
Mailing address
101 LAKE OCONEE PKWY, EATONTON, GA 31024-6054
(706) 923-2002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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