Organization
OCONEE REGIONAL HEALTH VENTURES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN GASTON ADMINISTRATOR (ADMINISTRATOR)
(706) 468-4519
Entity
Organization
Contact information
Practice address
425 N COBB ST, MILLEDGEVILLE, GA 31061-2634
(478) 454-1034
(478) 454-1114
Mailing address
425 N COBB ST, MILLEDGEVILLE, GA 31061-2634
(478) 454-1034
(478) 454-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642646863A
—
GA
01
—
DD9130
RAILROAD MEDICARE
GA
Enumeration date
11/30/2006
Last updated
07/10/2015
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