Organization

Ich Physician Group

May also be knows as Irwin County Hospital Authority

Rural Health Clinic/Center in Willacoochee, GA(View on Map)

Legal Business Name

Ich Physician Group

Also Known As

Irwin County Hospital Authority

NPI Number

1649670894

NPI Type

Organization

Enumeration Date

08/25/2014

Specialties

(Taxonomies)

Code

261QR1300X
207R00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

710 N IRWIN AVE
134 FLEETWOOD AVE E

City

Ocilla
Willacoochee

State

GA
GA

Postal Code

31774-5011
31650-2730

Country

US
US

Telephone Number

(229) 468-3800
(912) 534-5142

Authorized Official

Name

Jeanne Blevins

Title or Position

COO

Telephone Number

(229) 468-3800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/31/2023

Provider Address