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Individual

JASON S POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 WATERS AVE, C/O HOLLI MORGAN, SAVANNAH, GA 31404
(912) 350-8000
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404
(912) 350-8000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036112625
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112625
IL
01
10064478
AMERIGROUP
GA
05
38919730A
GA
01
389819730A
PEACHSTATE
GA
05
G56747
SC
01
N362154
WELLCARE
GA
Enumeration date
04/07/2006
Last updated
01/09/2008
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