Organization
TATTNALL NURSING, LLC
Active
Other names
Tattnall Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY TOLSON (MANAGER)
(404) 644-0471
Entity
Organization
Contact information
Practice address
142 MEMORIAL DR, REIDSVILLE, GA 30453-4652
(912) 557-4345
(912) 557-3019
Mailing address
142 MEMORIAL DR, REIDSVILLE, GA 30453-4652
(912) 557-4345
(912) 557-3019
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11321936
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143228A
—
GA
Enumeration date
08/05/2008
Last updated
08/05/2008
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