Organization
MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY
Active
Other names
MORGAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH AMADO CASTILLO (CEO)
(706) 752-2247
Entity
Organization
Contact information
Practice address
1740 LIONS CLUB RD, MADISON, GA 30650-4762
(706) 438-1275
(706) 438-1278
Mailing address
1740 LIONS CLUB RD, MADISON, GA 30650-4762
(706) 438-1275
(706) 438-1278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032394L
—
GA
01
—
CN4526
MEDICARE
GA
Enumeration date
08/12/2015
Last updated
10/11/2023
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