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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