Organization
SAVANNAH CHATHAM IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A RIVERA M.D. (PRESIDENT)
(912) 356-9222
Entity
Organization
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 356-9222
(912) 356-1080
Mailing address
345 COMMERCIAL DR, SAVANNAH, GA 31406-3606
(912) 356-9222
(912) 356-1080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918628166
—
GA
01
—
DF0304
RAILROAD MEDICARE
GA
Enumeration date
07/13/2006
Last updated
10/23/2023
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