Healthcare Provider Details

I. General information

NPI: 1043552763
Provider Name (Legal Business Name): CANDLER HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 HOSPITAL CENTER CMNS
HILTON HEAD SC
29926-2837
US

IV. Provider business mailing address

5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US

V. Phone/Fax

Practice location:
  • Phone: 843-689-2895
  • Fax: 843-689-9270
Mailing address:
  • Phone: 912-819-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number13683
License Number StateSC

VIII. Authorized Official

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