Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Other names
Coffee Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY LOTT (OFFICE ADMINISTRATOR)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2105
Mailing address
PO BOX 1287, DOUGLAS, GA 31534-1287
(912) 384-1900
(912) 389-2105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
GA
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
GA
Other
Enumeration date
02/01/2006
Last updated
07/21/2022
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