Individual
JOHN DAVID ANGSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Mailing address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
050701
GA
208600000X
Surgery Physician
23552
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000932005A
—
GA
01
—
020051364
RR MEDICARE
GA
01
—
10063394
AMERIGROUP
GA
01
—
349709
WELLCARE
GA
05
—
G50701
—
SC
Enumeration date
06/12/2006
Last updated
07/13/2009
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