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Organization

JENKINS COUNTY HOSPITAL, LLC

Active
Parent organization
JENKINS COUNTY HOSPITAL, LLC
Other names
Optim Primary Care - Sardis
Organization subpart
Yes

Provider details

NPI number
Legal business name
JENKINS COUNTY HOSPITAL, LLC
Authorized official
MICHAEL W. KLEINPETER CEO (CEO)
(912) 644-5300
Entity
Organization

Contact information

Practice address
639 VESTAL RD, SARDIS, GA 30456
(478) 569-4406
(912) 644-5260
Mailing address
210 E. DERENNE AVE, ATTN: HOPE SAMS, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5260

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/16/2012
Last updated
01/30/2013
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