Organization
EVANS MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WIGGINS (CFO)
(912) 739-5139
Entity
Organization
Contact information
Practice address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-2611
(912) 739-5101
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-2611
(912) 739-5101
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
054526
GA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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