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Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.
Active
Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.
Active
Other names
Memorial Health Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY HASH (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Mailing address
PO BOX 117027, ATLANTA, GA 30368-7027
(912) 350-2155
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010872AW
—
GA
01
—
CA3531
RAILROAD MEDICARE
GA
Enumeration date
12/15/2009
Last updated
05/10/2017
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