Individual
GAVIN HEATH DENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
(912) 427-6029
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006778
MEDICAL LICENSE
GA
Enumeration date
05/03/2013
Last updated
09/26/2018
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