Organization
TATTNALL HEALTHCARE LLC.
Active
Other names
GLENVILLE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A LEWIS (C.F.O.)
(912) 557-1000
Entity
Organization
Contact information
Practice address
121 N CASWELL ST, GLENNVILLE, GA 30427-2017
(912) 654-1080
Mailing address
121 N CASWELL ST, GLENNVILLE, GA 30427-2017
(912) 654-1080
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
12/06/2007
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