Candler Medical Group Inc - Glennville

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CANDLER MEDICAL GROUP INC - GLENNVILLE

Doing business as

SJC Medical Group Pooler

Practice address

105 Grand Central Blvd
Suite 107
Pooler, GA 31322-4061

Phone

(912) 748-1999

Fax

(912) 748-3847

NPI assigned

Jul 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul P Hinchey

Title

President/Ceo

Phone

(912) 819-6901

Specialties & licenses 1

Addresses

Other names 1

• SJC Medical Group Pooler Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1194741850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E. 72ND STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054913",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GRAND CENTRAL BLVD",
            "address_2": "SUITE 107",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224061",
            "telephone_number": "912-748-1999",
            "fax_number": "912-748-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER MEDICAL GROUP INC - GLENNVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "912-819-6901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC Medical Group Pooler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Campbell III
• Kiersten Campbell
• Lauren Campbell
• Theresa Campbell, MSN, RN, CCRN, NPD
• Debbie Campolo, P.T.
• Marisa Cannon, RBT
• Caresouth HHA Holdings of South Carolina, LLC
• Carla G Stappenbeck DDS LLC
• Mary Charlotte Carpenter, DPT
• Danielle Carter

• Family Medicine Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.