NPI 1023418928
Ich Physician Group
Practice location
- Address
- 2016 Ocilla Rd, Douglas, GA 31533-2230
- Phone
- (912) 384-4010
- Fax
- (912) 384-4018
- Mailing address
- 710 N Irwin Ave, Ocilla, GA 31774-5011
Authorised official
- Name
- Krystal Carver
- Title
- Cfo
- Phone
- (229) 468-3846
Registered specialties (2)
Rural Health Clinic/Center
Primary
Surgery Physician
Registry record
- NPI
- 1023418928
- Entity type
- Organization
- NPI issued
- 27 Aug 2014
- Record last updated
- 27 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.