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EDUARD DOCU MD LLC NPI 1770874778


NPI Information

NPI: 1770874778
Provider Name: EDUARD DOCU MD, LLC

Doing Business As: DOCU FAMILY MEDICINE CENTER

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 11D2014986

Address:
340 EISENHOWER DR STE 910
SAVANNAH, GA
ZIP 31406
Phone: (912) 354-3363
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EDUARD DOCU MD, LLC is an adult medicine family medicine in Savannah, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. EDUARD DOCU MD, LLC NPI is 1770874778. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Docu Family Medicine Center.

The provider's business location address is:

340 EISENHOWER DR STE 910
SAVANNAH, GA
ZIP 31406-609
Phone: (912) 354-3363
Fax: (912) 354-3332

The provider's authorized official is Eduard Docu .
The authorized official title is Md Owner and has the following contact phone number (912) 354-3363.

The CLIA number assigned to this NPI record is 11D2014986 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2011 and was last updated on 3/21/2023.


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
1207QA0505XFamily MedicineAdult Medicine056426GEORGIAYes

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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