NPI | 1932253762 |
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Doing Business As | SAVANNAH VASCULAR SURGERY, INC. |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment COO Rdinator 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 |