Organization
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Active
Other names
JEFF DAVIS HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BLOOM (CEO)
(912) 375-7781
Entity
Organization
Contact information
Practice address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-1690
(912) 375-7781
(912) 375-4055
Mailing address
PO BOX 1690, HAZLEHURST, GA 31539-1690
(912) 375-7781
(912) 375-4055
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001009A
—
GA
Enumeration date
06/14/2005
Last updated
07/21/2022
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