Organization
SAVANNAH PERIODONTICS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH J. HENDERSON (OFFICE MANAGER)
(912) 355-2688
Entity
Organization
Contact information
Practice address
310 EISENHOWER DR STE 4, SAVANNAH, GA 31406-2632
(912) 355-2688
(912) 355-2657
Mailing address
310 EISENHOWER DR STE 4, SAVANNAH, GA 31406-2632
(912) 355-2688
(912) 355-2657
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN013747
GA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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