Organization
EMANUEL COUNTY HOSPITAL AUTHORITY
Active
Other names
EMANUEL GASTROENTEROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOHNSON (CFO)
(478) 289-1376
Entity
Organization
Contact information
Practice address
125C VICTORY DR, SWAINSBORO, GA 30401
(478) 289-3195
Mailing address
117 KITE RD, P O BOX 879, SWAINSBORO, GA 30401-3231
(478) 289-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
071283
GA
Other
Enumeration date
02/05/2014
Last updated
05/18/2018
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