Organization
EVANS MEMORIAL HOSPITAL
Active
Organization
EVANS MEMORIAL HOSPITAL
Active
Other names
Evans Family Centered Healthcare North Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WIGGINS (CEO)
(912) 739-5000
Entity
Organization
Contact information
Practice address
602 A E. LONG ST., CLAXTON, GA 30417
(912) 739-5932
(912) 739-5933
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
07/19/2011
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