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Individual

DAN MERTIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
38 BIMINI DR, SAVANNAH, GA 31419-7205
(912) 373-6348
Mailing address
38 BIMINI DR, SAVANNAH, GA 31419-7205
(912) 373-6348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006834
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194063305
GA
Enumeration date
09/10/2015
Last updated
09/10/2015
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