Provider Information for 1902565120
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BURKE HOSPITAL COMPANY
Other Names:Doing Business As:BURKE MEDICAL CENTEROrganization Subpart: YES
NPI: 1902565120
Last Updated: 2022-10-03
Certification Date: 2022-10-03
Certification Date: 2022-10-03
Details
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NPI | 1902565120 | ||||||||
Enumeration Date | 2021-12-15 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: MICHAEL S HESTER Title: CEO Phone: 9123699400 | ||||||||
Mailing Address | 351 S LIBERTY ST WAYNESBORO, GA 30830-9686 United States Phone: 706-437-2695 | Fax:706-437-9018 | ||||||||
Primary Practice Address | 351 S LIBERTY ST WAYNESBORO, GA 30830-9686 United States Phone: 706-437-2695 | Fax:706-437-9018 | ||||||||
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