Organization
COFFEE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD C LEWIS (VP OF FINANCE)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
Mailing address
PO BOX 1287, DOUGLAS, GA 31534-1287
(912) 384-1900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
12/01/2008
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