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GLENVILLE MEDICAL CLINIC
NPI 1619182102
Clinic/Center - Rural Health in Glennville, GA

Active since May 10, 2007
121 N CASWELL ST, GLENNVILLE, GA 30427(912) 654-1080 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenville Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENVILLE MEDICAL CLINIC (NPI 1619182102) is a healthcare organization registered as a rural health in Glennville, Georgia and active in the NPI registry since May 2007. The organization lists Joseph A Lewis, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1619182102
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTATTNALL HEALTHCARE LLC.
Location Address121 N CASWELL STGlennville, GA 30427-2017
Mailing Address121 N Caswell StGlennville, GA 30427-2017 · (912) 654-1080
Phone(912) 654-1080
Organization SubpartNo
Authorized OfficialJoseph A LewisC.f.o. · (912) 557-1000
Enumeration DateMay 10, 2007
Last NPPES UpdateDecember 6, 2007
✔ NPI 1619182102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
121 N CASWELL ST, Glennville, GA 30427
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Other Names 1

Doing Business AsGlenville Medical Clinic

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP2213GA · Medicare Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D W SCARBOROUGH M D P C
Clinic/Center (Health Service)
121 N CASWELL ST
GLENNVILLE, GA 30427
Tattnall County (912) 654-1080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tattnall Healthcare LLC.'s NPI number?

The NPI number for Tattnall Healthcare LLC. is 1619182102. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Glenville Medical Clinic.

Where is Tattnall Healthcare LLC. located?

Tattnall Healthcare LLC. is located at 121 N Caswell St, Glennville, GA 30427. The listed phone number is (912) 654-1080.

What is Tattnall Healthcare LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Tattnall Healthcare LLC. was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.