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SAVANNAH INTEGRATIVE PEDIATRICS NPI 1235709601


NPI Information

NPI: 1235709601
Provider Name: SAVANNAH INTEGRATIVE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D2230226

Address:
132 STEPHENSON AVE SUITE 201
SAVANNAH, GA
ZIP 31405
Phone: (912) 567-3700
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SAVANNAH INTEGRATIVE PEDIATRICS is a pediatrics in Savannah, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SAVANNAH INTEGRATIVE PEDIATRICS NPI is 1235709601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

132 STEPHENSON AVE SUITE 201
SAVANNAH, GA
ZIP 31405-140
Phone: (912) 567-3700

The provider's authorized official is Sommer Clark .
The authorized official title is Manager and has the following contact phone number (912) 508-3983.

The CLIA number assigned to this NPI record is 11D2230226 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 8/23/2021.


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
1208000000XPediatricsYes

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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