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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