Individual
MR. MICHAEL D DEMAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 WATERS AVE, SUITE100, SAVANNAH, GA 31404-6702
(912) 355-2462
(912) 353-1836
Mailing address
4600 WATERS AVE, SUITE100, SAVANNAH, GA 31404-6702
(912) 355-2462
(912) 353-1836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032546
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000401211A
—
GA
01
—
032546
LICENSE #
GA
01
—
58-1102392
TAX ID #
GA
01
—
896867
SC MEDICAID
SC
Enumeration date
09/09/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us