Individual
MARILYN HUGUETTE LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
513 E OGLETHORPE AVE STE F, SAVANNAH, GA 31401-4141
(912) 999-8899
(912) 480-0010
Mailing address
513 E OGLETHORPE AVE STE F, SAVANNAH, GA 31401-4141
(912) 999-8899
(912) 480-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53263
STATE LICENSE NUMBER
GA
Enumeration date
06/06/2006
Last updated
07/21/2022
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