Organization
EMANUEL COUNTY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOHNSON (CFO)
(478) 289-1376
Entity
Organization
Contact information
Practice address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1100
Mailing address
PO BOX 879, SWAINSBORO, GA 30401-0879
(478) 289-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
04/25/2023
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