# SATILLA HEALTH MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Satilla Convenient Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831295716
- **Authorized official:** MR. ROBERT M. TRIMM (CEO)
- **Authorized official phone:** (912) 283-3030

## Contact information

- **Practice address:** 1921 ALICE ST, SUITE 4A, WAYCROSS, GA 31501-6200
- **Practice address phone:** (912) 283-5616
- **Practice address fax:** (912) 287-0788
- **Mailing address:** 1921 ALICE ST, SUITE 4A, WAYCROSS, GA 31501-6200
- **Mailing address phone:** (912) 283-5616
- **Mailing address fax:** (912) 287-0788

## 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:** 09/16/2006
- **Last updated:** 07/19/2007
