Organization
TAYLOR REGIONAL HOSPITAL
Active
Organization
TAYLOR REGIONAL HOSPITAL
Active
Other names
Middle GA Pediatrics at Rochelle
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON GREEN (CEO)
(478) 783-0261
Entity
Organization
Contact information
Practice address
792 1ST AVE, ROCHELLE, GA 31079-2018
(229) 365-7514
(478) 783-2299
Mailing address
PO BOX 1297, HAWKINSVILLE, GA 31036-7297
(787) 830-2004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/29/2022
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