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NPI Code Detail

MEDICARE: TATTNALL HOSPITAL COMPANY LLC

MEDICARE: TATTNALL HOSPITAL COMPANY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
3208600000XSurgery Physician
4208100000XPhysical Medicine & Rehabilitation Physician
5207T00000XNeurological Surgery Physician
62084P2900XPain Medicine (Psychiatry & Neurology) Physician
7207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1518613728
Entity Type Code : Organization
Provider Name (Legal Business Name) : TATTNALL HOSPITAL COMPANY LLC
Provider Business Mailing Address
First Line : 440 MALL BLVD STE C
Second Line :
City : SAVANNAH
State : GA
Zip : 31406-4868
Country : US
Telephone Number : 912-644-3340
Fax Number : 912-644-5398
Provider Business Practice Location Address
First Line : 257 SOUTH MAIN STREET
Second Line :
City : REIDSVILLE
State : GA
Zip : 30453-4605
Country : US
Telephone Number : 912-557-8900
Fax Number : 844-556-0706
Authorized Official
Title or Position : CEO
Name : DAVID ALEX VILLA
Credential :
Telephone Number : 912-629-7797
Provider Enumeration Date : 02/25/2022
Last Update Date : 01/14/2026

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Directions to “TATTNALL HOSPITAL COMPANY LLC ” Practice Location

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