Organization
RTR MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JOHN SAK (DIR OF OPERATIONS)
(912) 927-8887
Entity
Organization
Contact information
Practice address
11700-3 MERCY BLVD, SAVANNAH, GA 31419
(912) 927-8887
(912) 927-8064
Mailing address
11700-3 MERCY BLVD, SAVANNAH, GA 31419
(912) 927-8887
(912) 927-8064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
037918
GA
207Q00000X
Family Medicine Physician
037918
GA
207R00000X
Internal Medicine Physician
Primary
037050
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
037050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000542132D
—
GA
05
—
000585758B
—
GA
01
—
DA5173
RAILROAD MEDICARE
GA
Enumeration date
05/09/2007
Last updated
05/01/2013
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