Organization
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Active
Other names
Mayo Clinic Health System Physicians in Waycross, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HOFFMAN (CFO)
(912) 287-4213
Entity
Organization
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ0931
RAILROAD PTAN
—
Enumeration date
02/14/2014
Last updated
08/15/2016
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