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Individual

DR. MICHAEL JOHN BABCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11700 MERCY BLVD, PLAZA D #6, SAVANNAH, GA 31419
(912) 927-3434
(912) 927-5016
Mailing address
836 E. 65TH STREET, SUITE 20, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
072228
GA
207RC0000X
Cardiovascular Disease Physician
Primary
72228
GA
207RI0011X
Interventional Cardiology Physician
072228
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003148133A
GA
05
003148133B
GA
Enumeration date
11/28/2007
Last updated
04/26/2019
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