Graduated: 2025
NPI: 1417841982
Practice Locations (3)
HOSPITAL AUTHORITY OF LIBERTY COUNTY
462 E G MILES PKWY
HINESVILLE, GA 313134000
9123699400
SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC
462 E G MILES PKWY
HINESVILLE, GA 313134000
9123699400
HOSPITAL AUTHORITY OF LIBERTY COUNTY
462 ELMA G MILES PKWY, SUITE 102A
HINESVILLE, GA 313134000
9123699310
Source: CMS National Downloadable File, September 2026.