Organization
EMANUEL COUNTY HOSPITAL AUTHORITY
Active
Other names
Emanuel OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN TYRELL KELLY (DELEGATED OFFICIAL)
(478) 289-1192
Entity
Organization
Contact information
Practice address
125B VICTORY DR, SWAINSBORO, GA 30401-3234
(478) 289-3190
(478) 419-1252
Mailing address
117 KITE RD, SWAINSBORO, GA 30401-3231
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
02/25/2020
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