Healthcare Provider Details

I. General information

NPI: 1811300791
Provider Name (Legal Business Name): SOLUTIONS OF SAVANNAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 HARRISON ST
SAVANNAH TN
38372-2280
US

IV. Provider business mailing address

85 HARRISON ST
SAVANNAH TN
38372-2280
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-2767
  • Fax: 731-925-4898
Mailing address:
  • Phone: 731-925-2767
  • Fax: 731-925-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberL000000014190
License Number StateTN

VIII. Authorized Official

Name: MS. BRANDY LANETTE MAYHALL
Title or Position: REGISTERED NURSE/ DON
Credential: RN
Phone: 731-925-2767