| NPI | 1194129924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN RENEE BEARDEN Director Rev Int 229-276-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: GA PHH003554) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2018-09-06 |