Organization
HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE
Active
Other names
Physicians Health Group Wadley
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GUY (ASSISTANT ADMINISTRATOR)
(478) 625-7000
Entity
Organization
Contact information
Practice address
152 NORTH MAIN STREET, WADLEY, GA 30477-1178
(478) 625-7000
(478) 625-8907
Mailing address
152 NORTH MAIN STREET, PO BOX 1178, WADLEY, GA 30477-1178
(478) 625-7000
(478) 625-8907
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001031D
—
GA
Enumeration date
08/01/2006
Last updated
09/22/2020
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