| NPI | 1932253762 |
|---|---|
| Doing Business As | SAVANNAH VASCULAR SURGERY, INC. |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |