Organization
SAVANNAH ORAL AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA TYLER (CONTROLLER)
(843) 974-5236
Entity
Organization
Contact information
Practice address
5010 PAULSEN ST, SAVANNAH, GA 31405-4513
(843) 762-9028
Mailing address
3700 INGLESIDE BLVD BLDG 100, LADSON, SC 29456-4141
(843) 974-5236
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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