# GEORGIA EMERGENCY ASSOCIATES IMMEDIATE CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306876081
- **Authorized official:** DR. BRIAN J KORNBLATT MD (PRESIDENT)
- **Authorized official phone:** (912) 355-2400

## Contact information

- **Practice address:** 5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
- **Practice address phone:** (912) 355-2400
- **Practice address fax:** (912) 355-5324
- **Mailing address:** 5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
- **Mailing address phone:** (912) 355-2400
- **Mailing address fax:** (912) 355-5324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 12/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CJ8037 | RRB MEDICARE | GA |