# CANDLER MEDICAL GROUP INC - MERCY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANDLER MEDICAL GROUP INC - MERCY
- **Other names:** SJC Medical Group Inc- Southside
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770509333
- **Legal business name:** CANDLER MEDICAL GROUP INC - MERCY
- **Authorized official:** PAUL P HINCHEY (PRESIDENT/ CEO)
- **Authorized official phone:** (912) 819-6101

## Contact information

- **Practice address:** 410 MALL BOULEVARD, SUITE E, SAVANNAH, GA 31408-4869
- **Practice address phone:** (912) 352-7194
- **Practice address fax:** (912) 352-3131
- **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 |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/25/2011