Organization
HOSPITAL AUTHORITY OF CANDLER COUNTY
Active
Parent organization
HOSPITAL AUTHORITY OF CANDLER COUNTY
Other names
Candler Surgical and Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF CANDLER COUNTY
Authorized official
STEPHEN SHEPHERD (FACHE)
(912) 685-5741
Entity
Organization
Contact information
Practice address
415 CEDAR ST, METTER, GA 30439-3339
(912) 685-1251
(912) 685-1254
Mailing address
PO BOX 597, METTER, GA 30439-0597
(912) 826-4057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
10/24/2013
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