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General NPI Number Information
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NPI Number | 1659600963
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-2155
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Fax | 912-350-2156
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Provider Business Mailing Address
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Address Line | PO BOX 117027
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City | ATLANTA
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State | GA
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Zip | 30368-7027
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Country | US
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Telephone | 912-350-2155
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Fax | 912-350-2156
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT COORDINATOR
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Name | MS. TAMMY HASH
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Credential |
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Telephone | 912-350-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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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