| NPI | 1679640692 |
|---|---|
| Doing Business As | SAVANNAH PEDIATRIC SURGERY, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-06-01 |