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Organization

EVANS MEMORIAL HOSPITAL

Active
Other names
Surgical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARTHA TATUM (CFO)
(912) 739-2311
Entity
Organization

Contact information

Practice address
604A EAST LONG ST, CLAXTON, GA 30417-1659
(912) 739-2611
(912) 739-5041
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-7710
(912) 739-7343

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/23/2007
Last updated
02/08/2008
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