Individual
DR. GREGORY PAUL KOLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-3369
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405
(912) 644-5300
(912) 644-5241
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
074286
GA
207X00000X
Orthopaedic Surgery Physician
57.016594
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
074286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003165454A
—
GA
Enumeration date
01/31/2011
Last updated
10/24/2019
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