Individual
SANFORD ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4720 WATERS AVE, SAVANNAH, GA 31404-6292
(912) 354-4800
(912) 629-5821
Mailing address
PO BOX 102635, ATLANTA, GA 30368-2635
(912) 354-4800
(912) 629-5821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
011051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023372C
—
GA
05
—
00023372B
—
GA
01
—
1891734463
MEDICARE RAILROAD
GA
01
—
450081
BLUE CROSS BLUE SHIELD
GA
01
—
511G701032
MEDICARE GROUP
GA
01
—
582023987006
CHAMPUS
—
01
—
GPA977
MEDICAID GRP. SAV
SC
Enumeration date
06/06/2006
Last updated
07/21/2017
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