Individual
MARIANNE MAE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 E. 65TH STREET, BLDG. 30, SAVANNAH, GA 31405
(912) 819-9501
(912) 819-9505
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000603897B
—
GA
01
—
10064426
AMERIGROUP
GA
01
—
110214425
RR MEDICARE
GA
01
—
349761
WELLCARE
GA
05
—
G35180
—
SC
Enumeration date
06/12/2006
Last updated
01/03/2020
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