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Individual

RAVINDRA K GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5354 REYNOLDS ST STE 202, SAVANNAH, GA 31405-6009
(912) 352-0920
Mailing address
PO BOX 919, RINCON, GA 31326-0919
(912) 826-4057
(912) 826-2853

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036116875
IL
208600000X
Surgery Physician
Primary
45470
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003156355A
GA
01
06132037
BCBS
IL
01
CE9335
RR GRP
IL
Enumeration date
10/02/2006
Last updated
10/26/2016
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