Individual
SYL ALAN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Mailing address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
032776
GA
208C00000X
Colon & Rectal Surgery Physician
19122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000423013H
—
GA
05
—
000423013J
—
GA
01
—
280000999
RR MEDICARE
GA
05
—
G32776
—
SC
Enumeration date
06/14/2006
Last updated
01/27/2022
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