Healthcare Provider Details

I. General information

NPI: 1346354578
Provider Name (Legal Business Name): NADINE N VON TAAFFE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 REYNOLDS ST STE 424
SAVANNAH GA
31405-6007
US

IV. Provider business mailing address

PO BOX 15849
SAVANNAH GA
31416-2549
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-5999
  • Fax: 912-819-5980
Mailing address:
  • Phone: 912-819-5999
  • Fax: 912-819-5980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number067330
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number00027596
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: