| NPI | 1164583357 |
|---|---|
| Doing Business As | SAVANNAH VASCULAR SURGERY, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment COO Rdinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-06-01 |