OrganizationActive
Ich Physician Group
NPI 1649670894 · Rural Health Clinic/Center · Willacoochee, GA
Provider details
- NPI number
- 1649670894
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krystal Carver, Cfo(229) 468-3846
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
134 Fleetwood Ave E
Willacoochee, GA 31650-2730
Phone: (912) 534-5142
Fax: (912) 534-6120
Approximate (ZIP-level) locationGet directions
Mailing address
710 N Irwin Ave
Ocilla, GA 31774-5011
Other names (DBA / former)
- Former legal business name
- Irwin County Hospital Authority
- Doing business as
- Willacoochee Clinic
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.