Organization
CRISP REGIONAL HOSPITAL
Active
Parent organization
CRISP REGIONAL HOSPITAL, INC
Other names
Boreland and Cao OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISP REGIONAL HOSPITAL, INC
Authorized official
JAMES W MILLER (DIRECTOR PHYSICIAN PRACTICES)
(229) 271-4676
Entity
Organization
Contact information
Practice address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 276-3038
(229) 276-3150
Mailing address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 276-3038
(229) 276-3150
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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