Organization · NPI-2

Phoebe Putney Memorial Hospital

Clinical Medical Laboratory · Albany, GA

NPI number1699773077
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1699773077
Entity type
Organization (NPI-2)
Legal business name
Phoebe Putney Memorial Hospital
Organization subpart
No
Enumeration date
Jul 11, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory047-003GAYes

Practice location

417 W 3rd Ave
Laboratory
Albany, GA 31701-1943

Phone 229-312-6198 · Fax 229-312-6105

Mailing address

417 W 3rd Ave
Albany, GA 31701-1943

Phone 229-312-6198 · Fax 229-312-6105

Authorized official

Kerry Loudermilk
Cfo
2293124068

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