Organization
EVANS MEMORIAL HOSPITAL INC
Active
Other names
Evans Family Centered Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WIGGINS (CFO)
(912) 739-5000
Entity
Organization
Contact information
Practice address
501 E LONG ST, CLAXTON, GA 30417-1435
(912) 739-8001
(912) 739-8738
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
GA
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/24/2009
Last updated
08/02/2011
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