Organization
SCREVEN COUNTY HOSPITAL, LLC
Active
Parent organization
SCREVEN COUNTY HOSPITAL, LLC
Other names
Optim Surgical Associates - Sylvania
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCREVEN COUNTY HOSPITAL, LLC
Authorized official
MR. ROBERT GUENTHNER (SECRETARY OF SCREVEN COUNTY HOSPITA)
(312) 627-8247
Entity
Organization
Contact information
Practice address
102 ROCKY FORD RD, SYLVANIA, GA 30467
(800) 827-6536
(912) 644-5260
Mailing address
210 EAST DERENNE AVENUE, ATTN.: PROVIDER ENROLLMENT, SAVANNAH, GA 31405
(912) 644-1626
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
07/24/2015
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