# CANDLER MEDICAL GROUP INC - GLENNVILLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJC Medical Group Pooler
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194741850
- **Authorized official:** PAUL P HINCHEY (PRESIDENT/CEO)
- **Authorized official phone:** (912) 819-6901

## Contact information

- **Practice address:** 105 GRAND CENTRAL BLVD, SUITE 107, POOLER, GA 31322-4061
- **Practice address phone:** (912) 748-1999
- **Practice address fax:** (912) 748-3847
- **Mailing address:** 602 E. 72ND STREET, SAVANNAH, GA 31405-4913
- **Mailing address phone:** (912) 819-7878
- **Mailing address fax:** (912) 819-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 11/16/2011