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COMMUNITY CARE CLINIC NPI 1750829107


NPI Information

NPI: 1750829107
Provider Name: COMMUNITY CARE CLINIC

Other Name: COMMUNITY CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4395 OGEECHEE RD
209
SAVANNAH, GA
ZIP 31405
Phone: (912) 208-0726
Get Directions

COMMUNITY CARE CLINIC is an internal medicine in Savannah, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COMMUNITY CARE CLINIC NPI is 1750829107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Community Clinic.

The provider's business location address is:

4395 OGEECHEE RD
209
SAVANNAH, GA
ZIP 31405-249
Phone: (912) 208-0726
Fax: (912) 228-3046

The provider's authorized official is Emerald I Hall .
The authorized official title is Owner and has the following contact phone number (912) 208-0726.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207R00000XInternal MedicineYes
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
5208D00000XGeneral PracticeNo
6208VP0000XPain MedicinePain MedicineNo
7208VP0014XPain MedicineInterventional Pain MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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