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TATTNALL HOSPITAL COMPANY LLC NPI 1053745968


NPI Information

NPI: 1053745968
Provider Name: TATTNALL HOSPITAL COMPANY, LLC

Doing Business As: OPTIM PAIN MANAGEMENT-VIDALIA

Classification: Psychiatry & Neurology - 2084P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1702 MEADOWS LN STE A
VIDALIA, GA
ZIP 30474
Phone: (912) 537-9421
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TATTNALL HOSPITAL COMPANY, LLC is a pain medicine psychiatry neurology in Vidalia, GA. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. TATTNALL HOSPITAL COMPANY, LLC NPI is 1053745968. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optim Pain Management-vidalia.

The provider's business location address is:

1702 MEADOWS LN STE A
VIDALIA, GA
ZIP 30474-220
Phone: (912) 537-9421
Fax: (912) 538-0984

The provider's authorized official is Robert Guenthner .
The authorized official title is Secretary Of Comm.hosp.hold.co., Ll and has the following contact phone number (312) 627-8427.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 7/27/2015.


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
12084P2900XPsychiatry & NeurologyPain Medicine033669GEORGIAYes

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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