Individual
AARON M SOUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5356 REYNOLDS ST STE 201, SAVANNAH, GA 31405-6019
(912) 232-9700
(912) 748-0270
Mailing address
5501 ABERCORN ST, STE D BOX 104, SAVANNAH, GA 31405-6913
(912) 232-9700
(912) 748-0270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006799
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134446A
—
GA
01
—
006799
MEDICAL LICENSE
GA
Enumeration date
05/08/2013
Last updated
10/05/2021
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