Organization
GEORGIA INFIRMARY, INC.
Active
Other names
ST JOSEPH'S/CANDLER SOURCE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERT ALBRIGHT (DIRECTOR)
(912) 819-1505
Entity
Organization
Contact information
Practice address
1900 ABERCORN ST, SAVANNAH, GA 31401-8139
(912) 819-1500
(912) 819-1549
Mailing address
1900 ABERCORN STREET, SAVANNAH, GA 31401
(912) 819-1500
(912) 819-1549
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000321626G
—
GA
05
—
000498209A
—
GA
05
—
000680314G
—
GA
05
—
00120205A
—
GA
05
—
00120205B
—
GA
05
—
085500200G
—
GA
01
—
GRP7483
MEDICARE GROUP NUMBER
GA
Enumeration date
02/13/2007
Last updated
07/10/2023
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