Individual
DR. JEFFREY HARRIS GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
Mailing address
210 EAST DERENNE AVE, SAVANNAH, GA 31405
(912) 644-5300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
075626
GA
207X00000X
Orthopaedic Surgery Physician
4301107949
MI
207X00000X
Orthopaedic Surgery Physician
Primary
75626
GA
207X00000X
Orthopaedic Surgery Physician
R2473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177751A
—
GA
Enumeration date
05/19/2010
Last updated
10/23/2019
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