Healthcare Provider Details

I. General information

NPI: 1922580133
Provider Name (Legal Business Name): ST JOSEPHS CANDLER URGENT CARE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 01/31/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 COMMERCIAL DR
SAVANNAH GA
31406-3659
US

IV. Provider business mailing address

PO BOX 415000 MSC 8071
NASHVILLE TN
37241-8071
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-6221
  • Fax:
Mailing address:
  • Phone: 912-819-6000
  • Fax: 912-819-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMARA WHITE
Title or Position: VP REV CYCLE SERVICES
Credential:
Phone: 225-214-1031