Individual
EDWARD PELLICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 356-2011
(912) 351-3538
Mailing address
3 BELTON LN, SAVANNAH, GA 31411-1632
(912) 598-0501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037330
LICENSE
GA
Enumeration date
04/25/2006
Last updated
03/28/2008
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