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General NPI Number Information
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NPI Number | 1669144903
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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 | 10/05/2021
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 303 HARRIS INDUSTRIAL BLVD
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City | VIDALIA
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State | GA
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Zip | 30474-8853
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Country | US
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Telephone | 912-644-3340
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Fax | 912-644-5398
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Provider Business Mailing Address
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Address Line | 440 MALL BLVD STE C
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City | SAVANNAH
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State | GA
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Zip | 31406-4868
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Country | US
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Telephone | 912-644-3340
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Fax | 912-644-5398
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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 | 208600000X
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Taxonomy Name | Surgery 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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