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Organization

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Active
Parent organization
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GERORGIA
Other names
Jeff Davis Family Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GERORGIA
Authorized official
BARRY BLOOM (CEO)
(912) 375-7781
Entity
Organization

Contact information

Practice address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 375-0418
(912) 375-5775
Mailing address
9 HESTER ST, HAZLEHURST, GA 31539-6323
(912) 375-0418
(912) 375-5775

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
Primary
RN117135
GA

Other

Enumeration date
10/28/2015
Last updated
04/23/2026
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