Organization
TATTNALL HEALTHCARE LLC
Active
Other names
TATTNALL PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A LEWIS (CFO)
(912) 557-1000
Entity
Organization
Contact information
Practice address
1002 N DOWNING MUSGROVE HWY, GLENNVILLE, GA 30427-8603
(912) 654-4599
(912) 654-4648
Mailing address
1002 N DOWNING MUSGROVE HWY, GLENNVILLE, GA 30427-8603
(912) 654-4599
(912) 654-4648
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
11/13/2007
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