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Individual

DR. KRISTEN ANN UPDEGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9 CHATHAM CTR S, SUITE C, SAVANNAH, GA 31405-7456
(912) 527-7211
(912) 527-7222
Mailing address
9 CHATHAM CTR S, SUITE C, SAVANNAH, GA 31405-7456
(912) 527-7211
(912) 527-7222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052871
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00349531
RR MEDICARE
GA
Enumeration date
05/01/2006
Last updated
10/08/2007
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