Individual
DR. DAVID MARSHALL SEDORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
064731
GA
207X00000X
Orthopaedic Surgery Physician
24056
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064731
STATE LICENSE NUMBER
GA
01
—
24056
STATE LICENSE NUMBER
NE
05
—
767725123B
—
GA
05
—
767725123C
—
GA
05
—
767725123F
—
GA
05
—
767725123G
—
GA
Enumeration date
06/06/2007
Last updated
10/31/2019
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