Organization
HOURLIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY BRADLEY (MANAGER)
(912) 443-4243
Entity
Organization
Contact information
Practice address
315 EISENHOWER DR, SAVANNAH, GA 31406-2605
(912) 443-4243
(912) 350-0606
Mailing address
2 MODENA RD, SAVANNAH, GA 31411-2121
(912) 354-4687
(912) 350-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP5029
RAILROAD MEDICARE
—
Enumeration date
07/22/2008
Last updated
07/09/2010
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