Jeff Davis County Schools

Specialty details in registry · Hazlehurst, GA

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At a glance

44 Charles Rogers Blvd, Hazlehurst, GA 31539-6436

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

44 Charles Rogers Blvd
Hazlehurst, GA 31539-6436
Professional details: NPI, taxonomy & registry record
NPI1790841377
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Dec 28, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

44 Charles Rogers Blvd
Hazlehurst, GA 31539-6436
Phone
(912) 375-6700
Fax
(912) 375-6703
Mailing address
PO BOX 1780

HAZLEHURST, GA 315391780
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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