Organization
ANA MARIA CONCEPCION MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAUNDRA L. ROBINSON (LPN)
(912) 925-8883
Entity
Organization
Contact information
Practice address
11702 MERCY BLVD, STE. 2E, SAVANNAH, GA 31419-1750
(912) 925-8883
(912) 925-8689
Mailing address
11702 MERCY BLVD, STE. 2E, SAVANNAH, GA 31419-1750
(912) 925-8883
(912) 925-8689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
047070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4413
MEDICARE GROUP NO.
GA
Enumeration date
10/12/2007
Last updated
09/18/2013
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