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SJC MEDICAL GROUP INC NPI 1811233828


NPI Information

NPI: 1811233828
Provider Name: SJC MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2204587

Address:
527 EISENHOWER DR
SAVANNAH, GA
ZIP 31406
Phone: (912) 819-9100
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SJC MEDICAL 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. SJC MEDICAL GROUP INC NPI is 1811233828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

527 EISENHOWER DR
SAVANNAH, GA
ZIP 31406-668
Phone: (912) 819-9100
Fax: (912) 819-9100

The provider's authorized official is Donna J Stephens .
The authorized official title is Credentialing Coordinator and has the following contact phone number (912) 819-7878.

The CLIA number assigned to this NPI record is 11D2204587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2012 and was last updated on 1/23/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
42084N0400XPsychiatry & NeurologyNeurologyNo

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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