| Hospital Authority Of Irwin County | |
|
103 Parallel Ave Broxton GA 31519 | |
| (912) 359-3869 | |
| (912) 359-2101 |
| Full Name | Hospital Authority Of Irwin County |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 103 Parallel Ave, Broxton, Georgia |
| Authorized Official Name and Position | Deborah Driggers (HEALTH INFORMATION MGR) |
| Authorized Official Contact | 4782891303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Authority Of Irwin County 103 Parallel Ave Broxton GA 31519 Ph: (912) 359-3869 | Hospital Authority Of Irwin County 103 Parallel Ave Broxton GA 31519 Ph: (912) 359-3869 |
| NPI Number | 1225689664 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225689664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Broxton Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Parallel Street, Broxton, GA 31519 Phone: 912-359-3869 Fax: 912-359-2101 |