Individual
MARY VERSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 EISENHOWER DR BLDG 1, SAVANNAH, GA 31406-5098
(912) 356-2548
Mailing address
1915 EISENHOWER DR BLDG 1, SAVANNAH, GA 31406-5098
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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