Individual
STEVEN J. NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 108, SAVANNAH, GA 31404-6200
(912) 350-5940
(912) 350-5991
Mailing address
4750 WATERS AVE, SUITE 108, SAVANNAH, GA 31404-6200
(912) 350-5940
(912) 350-5991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
030168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000398802C
—
GA
05
—
000398802D
—
GA
01
—
260045914
RR MEDICARE
GA
05
—
G30168
—
SC
Enumeration date
06/22/2006
Last updated
07/24/2012
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