Healthcare Provider Details

I. General information

NPI: 1447220298
Provider Name (Legal Business Name): IRWIN STREIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: IRWIN STREIFF M.D.

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 W. RAILROAD STREET
SAVANNAH GA
31221-0190
US

IV. Provider business mailing address

602 E. 72ND STREET
SAVANNAH GA
31405-4913
US

V. Phone/Fax

Practice location:
  • Phone: 912-653-2897
  • Fax: 912-653-4299
Mailing address:
  • Phone: 912-819-7878
  • Fax: 912-819-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17317
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: