GEORGIA DEPT. OF CORRECTIONS NPI 1578942769

NPI Information

  • NPI: 1578942769
  • Provider Name: GEORGIA DEPT. OF CORRECTIONS
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Address: 3001 GORDON HWY
    GROVETOWN, GA
    ZIP 30813
  • Phone: (706) 855-4984

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NPI Details

GEORGIA DEPT. OF CORRECTIONS is a general acute care hospital in Grovetown, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GEORGIA DEPT. OF CORRECTIONS NPI is 1578942769. The provider is registered as an organization entity type.

The provider's business location address is:

3001 GORDON HWY
GROVETOWN, GA
ZIP 30813-808
Phone: (706) 855-4984

The provider's authorized official is Timothy Young .
The authorized official title is Clinic Director and has the following contact phone number (706) 855-4833.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital2678GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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