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General NPI Number Information
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NPI Number | 1265935522
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Entity Type | Organization
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Legal Business Name | SOUTH GEORGIA HOSPITALIST SERVICES, LLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 7505 WATERS AVE STE F10
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City | SAVANNAH
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State | GA
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Zip | 31406-3822
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Country | US
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Telephone | 912-764-2455
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Fax | 912-764-7522
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Provider Business Mailing Address
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Address Line | PO BOX 1067
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City | STATESBORO
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State | GA
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Zip | 30459-1067
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Country | US
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Telephone | 912-764-2455
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Fax | 912-764-7522
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Authorized Official
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Title or Position | CEO
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Name | DAVID CASTLEBERRY
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Credential |
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Telephone | 912-764-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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