Healthcare Provider Details

I. General information

NPI: 1942383674
Provider Name (Legal Business Name): CANDLER HOSPITAL INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 REYNOLDS ST STE 103
SAVANNAH GA
31405-6008
US

IV. Provider business mailing address

5354 REYNOLDS ST STE 103
SAVANNAH GA
31405-6008
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-7272
  • Fax: 912-819-7282
Mailing address:
  • Phone: 912-819-7272
  • Fax: 912-819-7282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE007906
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PAUL P HINCHEY
Title or Position: PRESIDENT/CEO
Credential:
Phone: 912-819-6000