# USCG CLINIC SAVANNAH

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

## Provider details

- **NPI number:** 1851828321
- **Authorized official:** DEBRA FITZGERALD (HEALTH SYSTEM ANALYST)
- **Authorized official phone:** (757) 628-4363

## Contact information

- **Practice address:** 300 E MAIN ST, NORFOLK, VA 23510-1753
- **Practice address phone:** (757) 628-4363
- **Mailing address:** 1297 N LIGHTNING RD, SAVANNAH, GA 31409-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 05/16/2017