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