Healthcare Provider Details
I. General information
NPI: 1295720662
Provider Name (Legal Business Name): CANDLER HOSPITAL INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US
IV. Provider business mailing address
5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US
V. Phone/Fax
- Phone: 912-819-5290
- Fax: 912-819-5295
- Phone: 912-819-8455
- Fax: 912-819-6736
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
D
ALVAREZ
Title or Position: REGISTERED AGENT
Credential:
Phone: 912-819-5294