Organization
SAVANNAH ORTHOPEDICS AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DANIEL BOAEN MD (OWNER)
(912) 999-6885
Entity
Organization
Contact information
Practice address
9100 WHITE BLUFF RD STE 102, SAVANNAH, GA 31406-4673
(912) 999-6885
(844) 440-2335
Mailing address
9100 WHITE BLUFF RD STE 102, SAVANNAH, GA 31406-4673
(912) 999-6885
(844) 440-2335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003227448D
—
GA
01
—
1619696036
NPI
GA
01
—
1821433194
NPI
GA
Enumeration date
08/29/2022
Last updated
11/19/2023
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