Organization
SAVANNAH CARDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY K BOTTNER MD (CEO)
(843) 682-2740
Entity
Organization
Contact information
Practice address
8 HOSPITAL CENTER BLVD, STE 130, HILTON HEAD ISLAND, SC 29926-8700
(843) 682-2740
(843) 682-2815
Mailing address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC2049
RAILROAD MEDICARE
SC
01
—
CG9496
RAILROAD MEDICARE
SC
Enumeration date
07/11/2006
Last updated
06/23/2010
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