Healthcare Provider Details
I. General information
NPI: 1548357213
Provider Name (Legal Business Name): JAMES C. GARBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2006
Last Update Date: 02/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4700 WATERS AVE FL 1
SAVANNAH GA
31404-6220
US
IV. Provider business mailing address
4700 WATERS AVE FL 1
SAVANNAH GA
31404-6220
US
V. Phone/Fax
- Phone: 912-350-8712
- Fax: 912-350-8753
- Phone: 912-350-8712
- Fax: 912-350-8753
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | 052936 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 052936 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: