Organization
HOSPITAL AUTHORITY OF WAYNE COUNTY, GEORGIA
Active
Other names
wayne memorial hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P IERARDI (CEO)
(912) 530-3302
Entity
Organization
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 427-6811
(912) 530-3140
Mailing address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 427-6811
(912) 530-3495
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002054A
—
GA
01
—
000922
BLUE CROSS
GA
Enumeration date
09/14/2005
Last updated
05/18/2023
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