St.Joseph's/Candler Hospital

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN158183 NP Issued in GA

Legal business name

ST.JOSEPH'S/CANDLER HOSPITAL

Practice address

5353 Reynolds St
Savannah, GA 31405-6015

Phone

(912) 819-6260

NPI assigned

Sep 30, 2008

Last updated

Sep 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dora Agyei Agyemang

Title

MSN, Aprn,BC-Anp

Phone

(912) 927-9598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1871743617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 QUEENS RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOSEPH'S/CANDLER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "AGYEI",
        "authorized_official_title_or_position": "MSN, APRN,BC-ANP",
        "authorized_official_telephone_number": "912-927-9598"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN158183 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph's Cardiology Group, LLC
• St. Joseph's Medical Group, LLC
• St. Joseph's Vascular Group, LLC
• St. Joseph's/Candler OB/GYN Practice, LLC
• Wendy St. Myers, PSY.D.
• Benjamin Mathew Stabbe, DC
• Stable Steps Your Behavior and Mental Health Provider LLC
• Hailey Dominy Stack, PA-C
• Karlye Stackhouse
• Shannon Stafford

• Primary Care Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.