| NPI | 1861569097 |
|---|---|
| Doing Business As | SURGICAL SPECIALIST OF SAVANNAH |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-08-15 |