Healthcare Provider Details

I. General information

NPI: 1184765729
Provider Name (Legal Business Name): SAVANNAH SPEECH AND HEARING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 SKIDAWAY RD
SAVANNAH GA
31406-2248
US

IV. Provider business mailing address

1206 E 66TH ST
SAVANNAH GA
31404-5704
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-4601
  • Fax: 912-355-7935
Mailing address:
  • Phone: 912-355-4601
  • Fax: 912-355-7935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CARRIE H LANCASTER
Title or Position: BOOKKEEPER
Credential:
Phone: 912-355-4601