Organization
HAZLEHURST PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HARRELL MHSA (DIRECTOR)
(912) 538-5508
Entity
Organization
Contact information
Practice address
17 JOHNSON ST, HAZLEHURST, GA 31539-6243
(912) 375-5507
(912) 375-2172
Mailing address
PO BOX 647, HAZLEHURST, GA 31539-0647
(912) 375-5507
(912) 375-2172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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