Organization
SHP PROVIDER NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY MOONEY (VP, MANAGED CARE)
(229) 407-0213
Entity
Organization
Contact information
Practice address
7505 WATERS AVE STE F9, SAVANNAH, GA 31406-3822
(912) 691-5711
Mailing address
PO BOX 60969, SAVANNAH, GA 31420-0969
(912) 691-5711
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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