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Organization
TATTNALL HOSPITAL COMPANY, LLC
Active
Organization
TATTNALL HOSPITAL COMPANY, LLC
Active
Parent organization
TATTNALL HOSPITAL COMPANY, LLC
Other names
Optim Medical Center Tattnall Swainsboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
TATTNALL HOSPITAL COMPANY, LLC
Authorized official
DAVID ALEX VILLA (CEO)
(912) 629-7797
Entity
Organization
Contact information
Practice address
119B VICTORY DR, SWAINSBORO, GA 30401-3234
(478) 289-3198
(478) 289-6363
Mailing address
440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
(912) 644-3340
(912) 644-5398
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/11/2013
Last updated
01/08/2026
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