| Organization Name: | TATTNALL HOSPITAL COMPANY, LLC |
| NPI Number: | 1104060987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL W. KLEINPETER (CEO) |
| Mailing Address: | 16915 Highway 67 Suite A Statesboro |
| State: | GA US |
| Postal Code: | 304585819 |
| Phone Number: | 9126445300 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2009 |
| NPI Last Update Date: | 04/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M1202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Magnetic Resonance Imaging |
| Taxonomy Definition: | |