Healthcare Provider Details

I. General information

NPI: 1538213111
Provider Name (Legal Business Name): BARRY SCHLAFSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST STE 201
SAVANNAH GA
31405-6015
US

IV. Provider business mailing address

602 E 72ND ST
SAVANNAH GA
31405-4913
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-5755
  • Fax:
Mailing address:
  • Phone: 912-819-7878
  • Fax: 912-819-7850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number040992
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number040992
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: