Healthcare Provider Details

I. General information

NPI: 1922000959
Provider Name (Legal Business Name): DAVID S OLIVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 COMMERCIAL DR STE 2
SAVANNAH GA
31406
US

IV. Provider business mailing address

322 COMMERCIAL DR STE 2
SAVANNAH GA
31406-3639
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-2335
  • Fax: 770-217-3339
Mailing address:
  • Phone: 912-355-2335
  • Fax: 912-355-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number38323
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: