Organization · Type 2 NPI

Ich Physician Group

Rural Health Clinic/Center · Douglas, GA

NPI number 1023418928 Active

Practice location

2016 Ocilla Rd
Douglas, GA 31533-2230

Call (912) 384-4010 Map

Fax (912) 384-4018

Mailing address

710 N Irwin Ave
Ocilla, GA 31774-5011

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Asf Medical Center IncFamily Medicine Physician Douglas, GA NPI 1437392859
Marshall Glynn Tanner, MDInternal Medicine Physician Douglas, GA NPI 1326031865

Other rural health clinic/center providers in Douglas

Coffee Regional Medical Center, IncRural Health Clinic/Center Douglas, GA NPI 1639211956

See all in Douglas →

NPI record

NPI: 1023418928
Entity type: Organization (Type 2)
Issued: Aug 27, 2014
Last updated: Feb 27, 2025
Status: Active

Other names

<unavail>
Irwin Surgical Medical · doing business as
Irwin Surgical Medical · doing business as
Irwin County Hospital Authority · former legal business name

Authorized official

Krystal Carver
CFO
(229) 468-3846

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023418928

Ich Physician Group's National Provider Identifier is 1023418928, issued on Aug 27, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Douglas, GA. The record was last updated on Feb 27, 2025.