Individual
ADRIENNE V. R. FABRIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 EISENHOWER DR STE 12A, SAVANNAH, GA 31406-2632
(912) 201-1140
(912) 352-4065
Mailing address
310 EISENHOWER DR, STE 12A, SAVANNAH, GA 31406-2632
(912) 201-1140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926978A
—
GA
05
—
000926978C
—
GA
01
—
10064422
AMERIGROUP
GA
01
—
110234552
RAILROAD MEDICARE
—
01
—
349759
WELLCARE MEDICAID
GA
01
—
619151
WELLCARE
GA
01
—
890274
BLUE CROSS BLUE SHIELD
GA
05
—
G50365
—
SC
Enumeration date
06/06/2006
Last updated
08/06/2021
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