Organization
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI
Active
Other names
Memorial Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN FAIRCLOTH (CFO)
(229) 246-8211
Entity
Organization
Contact information
Practice address
603 WHEAT AVE STE 450, BAINBRIDGE, GA 39819-4365
(229) 243-7707
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-1700
(229) 246-9322
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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