Organization
TATTNALL HOSPITAL COMPANY LLC
Active
Other names
Optim Medical Center - Tattnall
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEX VILLA (CEO)
(912) 644-3340
Entity
Organization
Contact information
Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 557-1000
(912) 557-1009
Mailing address
440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003260354A
—
GA
Enumeration date
06/11/2008
Last updated
01/08/2026
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