Organization
HOSPITALMD OF EAST GEORGIA IP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ZONDERVAN (VICE PRESIDENT)
(888) 898-3294
Entity
Organization
Contact information
Practice address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-2611
Mailing address
PO BOX 896140, CHARLOTTE, NC 28289-6140
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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