| NPI | 1184976599 |
|---|---|
| Former Legal Business Name | SAVANNAH OUTPATIENT FOOT AND ANKLE SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | KEITH ROUSE Medical Director 912-355-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |