Organization
HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Active
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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