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TATTNALL HOSPITAL COMPANY LLC NPI 1730506338


NPI Information

NPI: 1730506338
Provider Name: TATTNALL HOSPITAL COMPANY, LLC

Doing Business As: OPTIM SURGICAL ASSOCIATES- JESUP

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
110 PROFESSIONAL CT
JESUP, GA
ZIP 31545
Phone: (912) 427-0800
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TATTNALL HOSPITAL COMPANY, LLC is a surgery in Jesup, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. TATTNALL HOSPITAL COMPANY, LLC NPI is 1730506338. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optim Surgical Associates- Jesup.

The provider's business location address is:

110 PROFESSIONAL CT
JESUP, GA
ZIP 31545-044
Phone: (912) 427-0800
Fax: (912) 427-6029

The provider's authorized official is David Perry .
The authorized official title is Ceo and has the following contact phone number (912) 644-5300.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 7/22/2021.


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
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3208100000XPhysical Medicine & RehabilitationNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
52084P2900XPsychiatry & NeurologyPain MedicineNo
6208600000XSurgeryYes
7208VP0000XPain MedicinePain 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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