FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE NPI 1174705073

NPI Information

NPI: 1174705073
Provider Name: FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D1034152

Address:
340 EISENHOWER DR STE 610
SAVANNAH, GA
ZIP 31406
Phone: (912) 354-4004
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FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE is a general practice in Savannah, GA. FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE NPI is 1174705073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 EISENHOWER DR STE 610
SAVANNAH, GA
ZIP 31406-616
Phone: (912) 354-4004
Fax: (912) 354-4009

The provider's authorized official is Sandra Kae Bohnstengel .
The authorized official title is Physician and has the following contact phone number (912) 354-4044.

The CLIA number assigned to this NPI record is 11D1034152 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 5/17/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		038692	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DA9914	MEDICARE UPIN	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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