Organization
GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY R OSWELL (BUSINESS MANAGER)
(912) 354-9447
Entity
Organization
Contact information
Practice address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
(912) 355-3711
Mailing address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
(912) 355-3711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000984A
—
GA
01
—
7995
MEDICARE
SC
01
—
CD0036
RAILROAD MEDICARE
GA
Enumeration date
09/13/2006
Last updated
09/25/2012
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