Organization
MEMORIAL SATILLA SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALI FAILE III (AUTHORIZED OFFICIAL)
(843) 956-7923
Entity
Organization
Contact information
Practice address
1921 ALICE ST STE B, WAYCROSS, GA 31501-6200
(912) 490-0722
(912) 490-7227
Mailing address
1921 ALICE ST STE B, WAYCROSS, GA 31501-6200
(912) 490-0722
(912) 490-7227
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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