Organization
EVANS MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W WIGGINS (CFO)
(912) 739-5139
Entity
Organization
Contact information
Practice address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-5000
(912) 739-5106
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-5000
(912) 739-5106
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
054526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000734A
—
GA
05
—
000000734C
—
GA
Enumeration date
07/06/2006
Last updated
11/25/2022
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