Individual
NOAH RADJENOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
436 LANGLEY OAKS DR SE, MARIETTA, GA 30067-4981
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9949
GA
Other
Enumeration date
08/06/2020
Last updated
09/03/2020
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