Healthcare Provider Details

I. General information

NPI: 1659003879
Provider Name (Legal Business Name): ROBERT TOY HURT IV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 66TH ST
SAVANNAH GA
31405-4519
US

IV. Provider business mailing address

601 E 66TH ST
SAVANNAH GA
31405-4519
US

V. Phone/Fax

Practice location:
  • Phone: 912-662-0088
  • Fax: 912-527-6072
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number113277
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: