Organization
CANDLER MEDICAL GROUP-CENTRAL PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL P HINCHEY (PRESIDENT/CEO)
(912) 819-6001
Entity
Organization
Contact information
Practice address
527 EISENHOWER DRIVE, SAVANNAH, GA 31406-1612
(912) 819-9100
(912) 819-9101
Mailing address
602 E 72ND STREET, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GAP5684
MEDICARE GROUP #
GA
Enumeration date
06/30/2006
Last updated
08/01/2008
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