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General NPI Number Information
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NPI Number | 1699692319
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Entity Type | Organization
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Legal Business Name | SCREVEN COUNTY HOSPITAL LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 618 FREDERICK DR
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City | CLEVELAND
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State | MS
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Zip | 38732-2006
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Country | US
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Telephone | 662-299-2999
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Fax |
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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 |
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Fax |
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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 | 912-644-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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