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Organization
GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER
Active
Organization
GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J KORNBLATT MD (PRESIDENT)
(912) 355-2400
Entity
Organization
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8037
RRB MEDICARE
GA
Enumeration date
07/05/2006
Last updated
12/20/2007
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