JOHNATHAN N BACICH

SAVANNAH, GA
NPI1932395290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005124)
Enumeration Date2007-09-20
Last Update Date2017-05-08
Business Address
-- JOHNATHAN N BACICH PA-C
210 E DERENNE AVE
SAVANNAH, GA 31405-6736
Phone number: 912-644-5372
Mailing Address
-- JOHNATHAN N BACICH PA-C
210 E DERENNE AVE
SAVANNAH, GA 31405-6736
Phone number: 912-644-5300
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