Individual
SILVYA A. PRASETIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405
(912) 663-5548
Mailing address
208 GRAND CENTRAL BLVD STE 100, POOLER, GA 31322-0526
(912) 704-9760
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1456
TX
367H00000X
Anesthesiologist Assistant
Primary
6620
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
11/02/2012
Last updated
06/12/2019
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