Organization
TATTNALL HOSPITAL COMPANY, LLC
Active
Other names
Optim Medical Center-Tattnall Sandersville
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEX VILLA (CEO)
(912) 629-7797
Entity
Organization
Contact information
Practice address
601 FERNCREST DR, BUILDING A, SUITE 1, SANDERSVILLE, GA 31082-1800
(478) 357-2332
(855) 486-5226
Mailing address
440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
(912) 644-3340
(912) 644-5398
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
09/22/2022
Last updated
01/08/2026
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