Organization
SCREVEN COUNTY HOSPITAL LLC
Active
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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