Individual
JOHN R DUTTENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8490
(912) 350-8819
Mailing address
PO BOX 116187, ATLANTA, GA 30368-6187
(912) 350-8490
(912) 350-8819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14387
SC
2085R0001X
Radiation Oncology Physician
Primary
14387
SC
Other
Enumeration date
07/05/2006
Last updated
10/01/2018
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