Organization
COMMUNITY CARE CLINIC
Active
Other names
Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EMERALD I HALL (OWNER)
(912) 208-0726
Entity
Organization
Contact information
Practice address
4395 OGEECHEE RD, 209, SAVANNAH, GA 31405-1249
(912) 208-0726
(912) 228-3046
Mailing address
4395 OGEECHEE RD, 209, SAVANNAH, GA 31405-1249
(912) 208-0726
(912) 228-3046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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