Individual
DR. MICKEY MEILINGER OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404-6278
(912) 350-7412
(912) 350-7297
Mailing address
4750 WATERS AVE STE 202, SAVANNAH, GA 31404-6278
(912) 350-7412
(912) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
070227
GA
208600000X
Surgery Physician
MD45032
TN
2086S0102X
Surgical Critical Care Physician
Primary
070227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135033A
—
GA
05
—
GA1461
—
SC
01
—
P01198992
RAILROAD MEDICARE
GA
Enumeration date
05/04/2007
Last updated
01/14/2022
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