Individual
ALEXIS MARY GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE, SUITE 202, SAVANNAH, GA 31404-6200
(912) 350-7412
(912) 350-7297
Mailing address
4750 WATERS AVE, SUITE 202, SAVANNAH, GA 31404-6200
(912) 350-7412
(912) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
068411
GA
2086S0102X
Surgical Critical Care Physician
Primary
068411
GA
2086S0102X
Surgical Critical Care Physician
MD60168479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126094A
—
GA
05
—
GA1360
—
SC
01
—
P01087645
RAILROAD MEDICARE
GA
Enumeration date
06/27/2011
Last updated
02/08/2022
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