SAVANNAH NEPHROLOGYPC NPI 1184669301

NPI Information

SAVANNAH NEPHROLOGY,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. SAVANNAH NEPHROLOGY,PC NPI is 1184669301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5102 PAULSEN ST BLDG 7
SAVANNAH, GA
ZIP 31405-624
Phone: (912) 356-5171
Fax: (912) 354-7401

The provider's authorized official is James K Bazemore .
The authorized official title is President and has the following contact phone number (912) 356-5171.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 12/16/2009.

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:

Other Identifiers

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

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