Individual
EDUARD DOCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 EISENHOWER DR STE 910, SAVANNAH, GA 31406-1609
(912) 354-3363
(912) 354-3332
Mailing address
340 EISENHOWER DR STE 910, SAVANNAH, GA 31406-1609
(912) 354-3363
(912) 354-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
056424
GA
207Q00000X
Family Medicine Physician
Primary
056426
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046942388A
—
GA
01
—
08CBBLX
MEDICARE
GA
Enumeration date
11/18/2005
Last updated
03/21/2023
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