Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.
Active
Other names
Memorial Health Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY HASH (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Mailing address
PO BOX 117027, ATLANTA, GA 30368-7027
(912) 350-2155
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010872AW
—
GA
01
—
CA3531
RAILROAD MEDICARE
GA
Enumeration date
12/15/2009
Last updated
05/10/2017
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