HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA is a family nurse practitioner in Hazlehurst, GA. HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA NPI is 1912379082. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Jeff Davis Family Medical Group.
The provider's business location address is:
9 HESTER ST HAZLEHURST, GA ZIP 31539-323 Phone: (912) 375-0418 Fax: (912) 375-5775
The provider's authorized official is Barry Bloom . The authorized official title is Ceo and has the following contact phone number (912) 375-7781.
The CLIA number assigned to this NPI record is 11D2104510 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/28/2015 and was last updated on 6/14/2022.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
