Individual
KRISTINE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 WATERS AVE, SURGICAL EDUCATION DEPARTMENT, SAVANNAH, GA 31404-6220
(912) 350-8598
(912) 350-5984
Mailing address
4700 WATERS AVE, SURGICAL EDUCATION DEPARTMENT, SAVANNAH, GA 31404-6220
(912) 350-8598
(912) 350-5984
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
63514
NY
Other
Enumeration date
04/07/2014
Last updated
08/10/2015
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