Organization
TATTNALL HOSPITAL COMPANY, LLC
Active
Other names
Optim Primary Care- Glennville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALEX VILLA (CEO)
(912) 629-7797
Entity
Organization
Contact information
Practice address
1000B NORTH VETERANS BLVD, GLENNVILLE, GA 30427-8603
(912) 654-4599
(912) 654-4648
Mailing address
440 MALL BLVD STE C, SAVANNAH, GA 31406-4868
(912) 644-3340
(912) 644-5398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
01/14/2026
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