# MEMORIAL SATILLA SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295266955
- **Authorized official:** ROBERT ALI FAILE III (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (843) 956-7923

## Contact information

- **Practice address:** 1921 ALICE ST STE B, WAYCROSS, GA 31501-6200
- **Practice address phone:** (912) 490-0722
- **Practice address fax:** (912) 490-7227
- **Mailing address:** 1921 ALICE ST STE B, WAYCROSS, GA 31501-6200
- **Mailing address phone:** (912) 490-0722
- **Mailing address fax:** (912) 490-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017