# PET IMAGING CENTER OF SAVANNAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trident PET of Savannah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750376208
- **Authorized official:** GUY A MESSER (CEO)
- **Authorized official phone:** (770) 692-1387

## Contact information

- **Practice address:** 617 STEPHENSON AVE, STE 101, SAVANNAH, GA 31405-5838
- **Practice address phone:** (912) 355-7523
- **Practice address fax:** (912) 355-7526
- **Mailing address:** PO BOX 249, BROOKS, GA 30205-0249
- **Mailing address phone:** (770) 692-1387
- **Mailing address fax:** (770) 692-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 12/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 617511716B | — | GA |