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Organization

GEORGIA DEPARTMENT OF HUMAN RESOURCES

Active
Other names
Southwestern State Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HILIARY HOO-YOU (REGIONAL HOSPITAL ADMINISTRATOR)
(229) 227-3021
Entity
Organization

Contact information

Practice address
400 SOUTH PINETREE BLVD, THOMASVILLE, GA 31792-7128
(229) 227-3004
(229) 227-2663
Mailing address
PO BOX 1378, PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-3004
(229) 227-2663

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
136-241
GA

Other

Enumeration date
08/23/2005
Last updated
09/10/2008
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