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Organization

JOSEPH W DEHAVEN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH W DEHAVEN MD PC (PRESIDENT)
(912) 355-1437
Entity
Organization

Contact information

Practice address
7001 HODGSON MEMORIAL DR, ST 2, SAVANNAH, GA 31406-2549
(912) 355-1437
(912) 353-8374
Mailing address
7001 HODGSON MEMORIAL DR, ST 2, SAVANNAH, GA 31406-2549
(912) 355-1437
(912) 353-8374

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20687
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00187195A
GA
Enumeration date
08/22/2005
Last updated
08/22/2020
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