Organization
THE MEDICAL CENTER HOSPITAL AUTHORITY
Active
Other names
Hughston Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B MCMICKEN M.D. (CHAIRMAN OF BOARD OF DIRECTORS)
(706) 660-6103
Entity
Organization
Contact information
Practice address
100 FRIST CT, COLUMBUS, GA 31909-3578
(706) 494-2100
(706) 494-2446
Mailing address
707 CENTER ST, SUITE 400, COLUMBUS, GA 31901-1575
(706) 660-6103
(706) 660-6520
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
106-645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00315642A
—
GA
Enumeration date
05/09/2008
Last updated
09/05/2008
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