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GASTROENTEROLOGY CONSULTANTS OF SAVANNAH PC NPI 1013012145


NPI Information

NPI: 1013012145
Provider Name: GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0264755

Address:
519 STEPHENSON AVE
SAVANNAH, GA
ZIP 31405
Phone: (912) 354-9447
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GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC is a specialist in Savannah, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY CONSULTANTS OF SAVANNAH, PC NPI is 1013012145. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

519 STEPHENSON AVE
SAVANNAH, GA
ZIP 31405-969
Phone: (912) 354-9447
Fax: (912) 355-3711

The provider's authorized official is Penny R Oswell .
The authorized official title is Business Manager and has the following contact phone number (912) 354-9447.

The CLIA number assigned to this NPI record is 11D0264755 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist008668GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17995OTHERSOUTH CAROLINAMEDICARE
2GRP105MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE GROUP NUMBER
355000984AMEDICAIDGEORGIA
4CD0036OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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