Whalio Doctors

NPI 1023593498

Hospital Authority of Jeff Davis County Georgia

Organisation Psychiatric Hospital Unit Hazlehurst, GA

Practice location

Address
163 S Tallahassee St, Hazlehurst, GA 31539-6465
Phone
(912) 375-7781
Fax
(912) 375-4881

Authorised official

Name
Barry Bloom
Title
Ceo
Phone
(912) 375-7781

Registered specialties (2)

Psychiatric Hospital Unit Primary
Hospital Units Taxonomy 273R00000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI
1023593498
Entity type
Organization
NPI issued
1 Oct 2018
Record last updated
23 Jun 2021

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.