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MEMORIAL PHYSICIANS GROUP INC NPI 1013377530


NPI Information

NPI: 1013377530
Provider Name: MEMORIAL PHYSICIANS GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4731 WATERS AVE
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-4905
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MEMORIAL PHYSICIANS GROUP INC is a family medicine in Savannah, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL PHYSICIANS GROUP INC NPI is 1013377530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4731 WATERS AVE
SAVANNAH, GA
ZIP 31404-219
Phone: (912) 350-4905
Fax: (912) 350-4955

The provider's authorized official is Sebrena Holmes Gibson .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 2/25/2016 and was last updated on 2/25/2016.


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
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
42080P0203XPediatricsPediatric Critical Care MedicineNo
52080P0205XPediatricsPediatric EndocrinologyNo
62080P0207XPediatricsPediatric Hematology-OncologyNo
7208100000XPhysical Medicine & RehabilitationNo
8208600000XSurgeryNo
9208C00000XColon & Rectal SurgeryNo
10208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
11207Q00000XFamily MedicineYes

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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