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PAULA COLLETTE DENITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715
Mailing address
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404-6220
(912) 350-2700
(912) 350-2715

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27810
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000367243E
GA
05
000367243F
GA
05
000367243G
GA
05
000367243H
GA
05
000367243I
GA
05
000367243J
GA
05
000367243K
GA
05
000367243L
GA
01
10064371
AMERIGROUP
GA
01
349748
WELLCARE
GA
05
G27180
SC
01
P00955053
RAILROAD MEDICARE
GA
Enumeration date
09/26/2006
Last updated
03/31/2014
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