Provider Demographics
NPI:1720844020
Name:CURRENT MIND CARE
Entity Type:Organization
Organization Name:CURRENT MIND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SCANNELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:912-250-5266
Mailing Address - Street 1:1915 E VICTORY DR STE E
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-3730
Mailing Address - Country:US
Mailing Address - Phone:912-250-5266
Mailing Address - Fax:
Practice Address - Street 1:42 CHAUCER ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410
Practice Address - Country:US
Practice Address - Phone:912-250-5266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty