Organization
CANDLER HOSPITAL, INC.
Active
Other names
CANDLER HOSPITAL PATHOLOGY LAB
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL P HINCHEY (PRESIDENT/CEO)
(912) 819-6901
Entity
Organization
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-5290
(912) 819-5295
Mailing address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-5290
(912) 819-5295
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
025-002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000327A
—
GA
01
—
11D0022060
CLIA ID NUMBER
GA
Enumeration date
06/05/2009
Last updated
06/15/2009
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