| Organization Name: | TATTNALL HOSPITAL COMPANY, LLC |
| NPI Number: | 1053745968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT GUENTHNER (SECRETARY OF COMM.HOSP.HOLD.CO., LL) |
| Mailing Address: | 1702 Meadows Ln Ste A Vidalia |
| State: | GA US |
| Postal Code: | 304747220 |
| Phone Number: | 9125379421 |
| Fax Number: | 9125380984 |
| NPI Enumeration Date: | 08/27/2013 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P2900X |
| License Number: | 033669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | 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. |