Organization
COFFEE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE F LORD (MEDICAL STAFF ASSISTANT)
(912) 383-5623
Entity
Organization
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2105
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
03941
GA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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