| NPI | 1649816216 |
|---|---|
| Doing Business As | SAVANNAH LAKES FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET JACKSON Chief Compliance Officer 864-366-3279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 208600000X Surgery | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-01-06 |