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General NPI Number Information
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NPI Number | 1285893818
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Entity Type | Organization
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Legal Business Name | TATTNALL HOSPITAL COMPANY, LLC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 125 MEMORIAL DRIVE
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City | REIDSVILLE
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State | GA
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Zip | 30453-4605
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Country | US
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Telephone | 912-557-3434
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Fax | 912-557-6760
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Provider Business Mailing Address
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Address Line | 460 MALL BLVD STE B
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City | SAVANNAH
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State | GA
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Zip | 31406-4891
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Country | US
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Telephone | 912-644-5300
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Fax | 912-644-5260
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Authorized Official
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Title or Position | CEO
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Name | DAVID ALEX VILLA
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Credential |
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Telephone | 912-629-7797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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