Organization
SAVANNAH HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN O AWINDA APRN (SOLE MEMBER)
(801) 941-4034
Entity
Organization
Contact information
Practice address
4035 S 500 E, SALT LAKE CITY, UT 84107-1866
(801) 262-9181
(813) 336-8463
Mailing address
1728 S WRIGHT CT, SALT LAKE CITY, UT 84105-2914
(801) 941-4034
(813) 336-8463
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
10/02/2020
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