Individual
DR. JEFFREY SAMUEL MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1326 EISENHOWER DR BLDG 2, SAVANNAH, GA 31406-3928
(912) 354-6303
(912) 355-8655
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 354-6303
(912) 355-8655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
054646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186202
—
SC
05
—
650814017A
—
GA
01
—
853523
BCBS
GA
01
—
P00157243
RR MEDICARE
GA
Enumeration date
07/15/2005
Last updated
09/11/2020
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