Individual
EMILY AQUADRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Mailing address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 373-6854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89240
GA
390200000X
Student in an Organized Health Care Education/Training Program
10860
GA
Other
Enumeration date
03/25/2019
Last updated
08/13/2021
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