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NPI Code Detail

MEDICARE: MEMORIAL SAVANNAH CARDIOLOGY

MEDICARE: MEMORIAL SAVANNAH CARDIOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205889995
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL SAVANNAH CARDIOLOGY
Provider Business Mailing Address
First Line : 6301 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-5701
Country : US
Telephone Number : 912-352-8700
Fax Number : 912-650-6805
Provider Business Practice Location Address
First Line : 6301 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-5701
Country : US
Telephone Number : 912-352-8700
Fax Number : 912-650-6805
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. RANDY K BOTTNER
Credential : MD
Telephone Number : 912-352-8700
Provider Enumeration Date : 05/17/2006
Last Update Date : 06/22/2015

Similar Medicare Providers

1619975026 — ALI R HOMAYUNI MD
Practice Location Address:
6301 ABERCORN ST
SAVANNAH, GA
31405-5701
Practice Phone: 917-287-2974
Practice Fax: 917-287-2974
1780673921 — MR. RANDY KYLE BOTTNER MD
Practice Location Address:
6301 ABERCORN ST
SAVANNAH, GA
31405-5701
Practice Phone: 912-352-8700
Practice Fax: 912-650-6805
1720077977 — MR. JOSEPH CRAIG HARKNESS MD
Practice Location Address:
6301 ABERCORN ST
SAVANNAH, GA
31405-5701
Practice Phone: 912-352-8700
Practice Fax: 912-650-6805
1932158219 — MR. JAMES MILO BROWN RPH
Practice Location Address:
5701 OGEECHEE RD
SAVANNAH, GA
31405-9505
Practice Phone: 912-232-8512
Practice Fax:
1316092513 — SAVANNAH CARDIOLOGY, PC
Practice Location Address:
6301 ABERCORN ST
SAVANNAH, GA
31405-5701
Practice Phone: 912-352-8700
Practice Fax: 912-650-6805
1831219872 — DR. WILLIAM BRYAN HARTLEY M.D.
Practice Location Address:
6301 ABERCORN ST
SAVANNAH, GA
31405-5701
Practice Phone: 912-352-8700
Practice Fax: 912-650-6805

Directions to “MEMORIAL SAVANNAH CARDIOLOGY ” Practice Location

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