Organization
CLINCH COUNTY HOSPITAL AUTHORITY
Active
Parent organization
CLINCH COUNTY HOSPITAL AUTHORITY
Other names
Clinch Memorial Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINCH COUNTY HOSPITAL AUTHORITY
Authorized official
CASSANDRA C HUGHES (CFO)
(912) 487-5211
Entity
Organization
Contact information
Practice address
80 HUXFORD ST, HOMERVILLE, GA 31634-2356
(912) 487-5211
Mailing address
PO BOX 298, HOMERVILLE, GA 31634-0298
(912) 487-5211
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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