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Organization

DODGE COUNTY HOSPITAL AUTHORITY

Active
Other names
Ocmulgee Internal Medicine and Nephrology
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE HESTER (CFO)
(478) 448-4050
Entity
Organization

Contact information

Practice address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(478) 374-4410
(478) 374-3756
Mailing address
PO BOX 4128, EASTMAN, GA 31023-4128

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/08/2010
Last updated
11/08/2010
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