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Individual

MR. CHAD MIKELL LANDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST, CSFA

Contact information

Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5241
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
07/16/2010
Last updated
04/17/2019
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