| Tattnall Healthcare Llc | |
|
36671 Hwy. 23 Cobbtown GA 30420 | |
| (912) 684-3692 | |
| (912) 684-3695 |
| Full Name | Tattnall Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 36671 Hwy. 23, Cobbtown, Georgia |
| Authorized Official Name and Position | Joseph A Lewis (CFO) |
| Authorized Official Contact | 9125571000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tattnall Healthcare Llc 36671 Hwy. 23 Cobbtown GA 30420 Ph: (912) 684-3692 | Tattnall Healthcare Llc 36671 Hwy. 23 Cobbtown GA 30420 Ph: (912) 684-3692 |
| NPI Number | 1952416901 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952416901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |