Organization
UROLOGICAL ASSOCIATES OF SAVANNAH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN E SHAW (BILLING MANAGER)
(912) 790-4000
Entity
Organization
Contact information
Practice address
230 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 790-4000
(912) 790-4407
Mailing address
PO BOX 14459, SAVANNAH, GA 31416-1459
(912) 790-4000
(912) 790-4407
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5245
RAILROAD MEDICARE
GA
05
—
GPA715
—
SC
Enumeration date
04/20/2006
Last updated
11/10/2011
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