Crisp Regional Hospital Inc
Organization Active NPI Orthopaedic Surgery Physician · Cordele, GA
NPI 1093580359 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1093580359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CRISP REGIONAL HOSPITAL INC
- Practice address
- 1701 E 16TH Ave
Cordele, GA 31015-5308 - Phone
- (229) 276-2286
- Fax
- (229) 276-2289
- NPI assigned
- Nov 16, 2023
- Organization subpart
- No
Authorized official
- Name
- Jessica Yates Carter
- Title
- Cfo
- Phone
- (229) 276-3100
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Surgical Associates
Locations
1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
1701 E 16TH Ave
Cordele, GA 31015-5308
Mailing address
PO Box 531739
Atlanta, GA 30353-1739
Phone (229) 276-3100
Other names
- Crisp Regional Orthopedics
Other providers in Cordele, GA
- Crisp Medical and Kidney Care LLC
- Crisp Medical Equipment LLC
- Crisp Regional Hospital
- Crisp Regional Hospital
- Crisp Regional Hospital
- Crisp Regional Hospital Inc
- Crisp Regional Hospital Inc
- Crisp Regional Hospital Pharmacy
- Crisp Regional Hospital, Inc
- Crisp Regional Hospital, Inc
All providers in Cordele, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.