Individual
DR. BRIAN J KORNBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
038029
GA
207P00000X
Emergency Medicine Physician
20004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000594624B
—
GA
05
—
000594624D
—
GA
05
—
000594624F
—
GA
05
—
000594624H
—
GA
05
—
000594624Q
—
GA
05
—
000594624R
—
SC
05
—
000594624S
—
GA
05
—
000594624T
—
GA
05
—
000594624U
—
GA
Enumeration date
05/23/2006
Last updated
05/27/2008
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