Healthcare Provider Details

I. General information

NPI: 1588663058
Provider Name (Legal Business Name): SAVANNAH PRIMARY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 EISENHOWER DR SUITE D
SAVANNAH GA
31406-3928
US

IV. Provider business mailing address

1326 EISENHOWER DR SUITE D
SAVANNAH GA
31406-3928
US

V. Phone/Fax

Practice location:
  • Phone: 912-527-5250
  • Fax: 912-527-5260
Mailing address:
  • Phone: 912-527-5250
  • Fax: 912-527-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateGA

VIII. Authorized Official

Name: DR. ARTHUR EDWARD CHARMATZ
Title or Position: PARTNER
Credential: M.D.
Phone: 912-527-5250