Healthcare Provider Details

I. General information

NPI: 1447455365
Provider Name (Legal Business Name): MARIA B PAASCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA GARNETTE BARRETT M.D.

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5356 REYNOLDS STREET SUITE 302
SAVANNAH GA
31405
US

IV. Provider business mailing address

5356 REYNOLDS STREET SUITE 302
SAVANNAH GA
31405
US

V. Phone/Fax

Practice location:
  • Phone: 912-721-9595
  • Fax: 912-298-0899
Mailing address:
  • Phone: 912-721-9595
  • Fax: 912-298-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number15668
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number67946
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: