Organization · Type 2 NPI

Charlton Memorial Hospital

Rural Health Clinic/Center · Folkston, GA

NPI number 1760548002 Active

Practice location

2383 Third St
Folkston, GA 31537-8917

Fax (912) 496-1139

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

4 other providers at this address

Peach Care LLCInternal Medicine Physician Folkston, GA NPI 1730598491
Angela Dawn Johnson, APRNFamily Nurse Practitioner Folkston, GA NPI 1487858650
Maged Edward Abdelmalik, MDInternal Medicine Physician Folkston, GA NPI 1770558470
Sarah Suzanne Ridgeway, APRNPrimary Care Nurse Practitioner Folkston, GA NPI 1245249176

NPI record

NPI: 1760548002
Entity type: Organization (Type 2)
Issued: Dec 29, 2006
Last updated: Jul 26, 2012
Status: Active
Subpart: Yes of Charlton Memorial Hospital

Other names

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Family Practice Clinic · doing business as

Authorized official

Ms. Fatima McCasland
Clinic Director
(912) 496-2697

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 1760548002

Charlton Memorial Hospital's National Provider Identifier is 1760548002, issued on Dec 29, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Folkston, GA. The record was last updated on Jul 26, 2012.