Organization
SAVANNAH PEDIATRIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A FAILE (VICE PRESIDENT)
(843) 856-7923
Entity
Organization
Contact information
Practice address
5102 PAULSEN ST BLDG 3, SAVANNAH, GA 31405-4614
(912) 350-7914
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
(866) 831-4898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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