Organization
EFFINGHAM HOSPITAL, INC.
Active
Other names
Effingham Family Medicine at Port Wentworth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCINE BAKER-WITT RN, MBA, CNHA (INTERIM CEO)
(912) 754-0142
Entity
Organization
Contact information
Practice address
7306 GA HIGHWAY 21, STE 105, PORT WENTWORTH, GA 31407-9275
(912) 966-2575
(912) 966-0906
Mailing address
459 HIGHWAY 119 SOUTH, ATTN.: ALIA ALLEN/MEDICAL STAFF OFFICE, SPRINGFIELD, GA 31329
(912) 754-0175
(912) 754-6395
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOSP150
MEDICARE
GA
Enumeration date
07/15/2009
Last updated
11/29/2016
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