Healthcare Provider Details
I. General information
NPI: 1750325890
Provider Name (Legal Business Name): JAMES E. RAMAGE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2006
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4700 WATERS AVE SUITE 507
SAVANNAH GA
31404-6220
US
IV. Provider business mailing address
4700 WATERS AVE SUITE 507
SAVANNAH GA
31404-6220
US
V. Phone/Fax
- Phone: 912-350-4750
- Fax: 912-350-4751
- Phone: 912-350-4750
- Fax: 912-350-4751
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 024329 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 024329 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: