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institution
Coffee Regional Medical Center, Inc
Rural Health Clinic/Center in Douglas, Georgia
NPI 1639211956

Coffee Regional Medical Center, Inc is a Rural Health Clinic/Center based in Douglas, GA and is specialized in Rural Health. Coffee Regional Medical Center, Inc practices in Douglas, GA. The NPI Number for Coffee Regional Medical Center, Inc is 1639211956 and holds a License No. (Georgia).

The current practice location address for Coffee Regional Medical Center, Inc is 1301 Peterson Ave S, Douglas, GA and can be reached out via phone at 912-383-6966 and via fax at 912-383-5667.

Location: 1301 Peterson Ave S, Douglas, GA, 31534-1287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639211956
Provider Name
Coffee Regional Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
1301 Peterson Ave S, Douglas, GA, 31534-1287
Phone Number
912-383-6966
Fax Number
912-383-5667
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000448D 05 GA
institution
Provider Business Practice Location Address Details
Address
1301 Peterson Ave S
City
Douglas
State
Georgia
Zip
31533-2327
Phone Number
912-383-6966
Fax Number
912-383-5667
person
Provider Business Mailing Address Details
Address
1301 Peterson Ave S
City
Douglas
State
Georgia
Zip
31533-2327
Phone Number
912-383-6966
Fax Number
912-383-5667
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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