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Organization

SCREVEN COUNTY HOSPITAL LLC

Active
Other names
Optim Primary Care Millen
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ALEX VILLA (CEO)
(505) 695-9410
Entity
Organization

Contact information

Practice address
961 E WINTHROPE AVE, MILLEN, GA 30442-1839
(478) 982-9081
(478) 982-8843
Mailing address
460 MALL BLVD STE B, SAVANNAH, GA 31406-4891
(912) 644-1626
(912) 644-3369

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
GA

Other

Enumeration date
10/05/2010
Last updated
11/20/2025
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