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Organization

SAVANNAH CHILDREN'S HEART CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH DWIGHT BURCH MD (PRESIDENT/DIRECTOR)
(912) 350-8085
Entity
Organization

Contact information

Practice address
4750 WATERS AVE, SUITE 512, SAVANNAH, GA 31404-6200
(912) 350-8085
(912) 350-3703
Mailing address
4700 WATERS AVE, 2ND FLOOR GA EAR, SAVANNAH, GA 31404-6220
(912) 988-5050
(912) 988-5013

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300031686A
GA
Enumeration date
08/29/2006
Last updated
12/04/2012
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