Healthcare Provider Details

I. General information

NPI: 1215953583
Provider Name (Legal Business Name): THE ENDOCRINE CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 EAST 70 STREET
SAVANNAH GA
31405
US

IV. Provider business mailing address

705 EAST 70 STREET
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-7622
  • Fax: 912-354-7783
Mailing address:
  • Phone: 912-354-7622
  • Fax: 912-354-7783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number048308
License Number StateGA

VIII. Authorized Official

Name: JAMES ALLEN STOEVER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 912-354-7622