Organization
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J HOFFMAN (CFO)
(912) 287-4213
Entity
Organization
Contact information
Practice address
1900 TEBEAU STREET, WAYCROSS, GA 31501
(912) 287-2500
(912) 287-2532
Mailing address
1900 TEBEAU STREET, WAYCROSS, GA 31501
(912) 287-2500
(912) 287-2532
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001229A
—
GA
05
—
300026014A
—
GA
05
—
300026014B
—
GA
Enumeration date
02/10/2006
Last updated
08/15/2016
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