Healthcare Provider Details
I. General information
NPI: 1215370333
Provider Name (Legal Business Name): TONJEH M. BAH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/08/2013
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 CANDLER DR STE 300
SAVANNAH GA
31405-6091
US
IV. Provider business mailing address
836 E 65TH ST STE 4
SAVANNAH GA
31405-4491
US
V. Phone/Fax
- Phone: 912-354-6187
- Fax: 912-355-9807
- Phone: 912-354-6187
- Fax: 912-355-9807
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 110263 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | 110263 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: