Individual
JEREMY E LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11700 MERCY BLVD., PLAZA D SUITE A, SAVANNAH, GA 31419
(912) 819-0500
(912) 819-0501
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
050403
GA
2086S0129X
Vascular Surgery Physician
050403
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
050403
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000921401E
—
GA
05
—
000921401F
—
GA
05
—
000921401G
—
GA
05
—
000921401H
—
GA
05
—
G22407
—
SC
Enumeration date
06/17/2005
Last updated
07/21/2022
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