Organization
MEMORIAL SAVANNAH CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY K BOTTNER MD (MANAGING PARTNER)
(912) 352-8700
Entity
Organization
Contact information
Practice address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Mailing address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159029A
—
GA
Enumeration date
06/19/2015
Last updated
06/19/2015
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