Organization
CLINCH COUNTY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA P AMMONS (CEO)
(912) 487-4348
Entity
Organization
Contact information
Practice address
1050 VALDOSTA HWY, HOMERVILLE, GA 31634-9701
(912) 487-4350
Mailing address
1050 VALDOSTA HWY, HOMERVILLE, GA 31634-9701
(912) 487-4350
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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