Organization
CRISP REGIONAL HOSPITAL, INC.
Active
Other names
Warwick Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. MILLER (DIRECTOR PHYSICIAN PRACTICES)
(229) 271-4676
Entity
Organization
Contact information
Practice address
135 DOGWOOD ST SW, WARWICK, GA 31796-5568
(229) 535-4567
(229) 535-6556
Mailing address
135 DOGWOOD ST SW, WARWICK, GA 31796-5568
(229) 535-4567
(229) 535-6556
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000514F
—
GA
Enumeration date
05/16/2007
Last updated
06/12/2009
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