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Individual

ROBERT M. GANTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 429-9020
(912) 352-0793
Mailing address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 429-9020
(912) 352-0793

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
025158
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766229953A
GA
01
P00388319
RAILROAD MEDICARE
GA
Enumeration date
07/06/2006
Last updated
05/10/2017
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