Healthcare Provider Details

I. General information

NPI: 1255245635
Provider Name (Legal Business Name): PACE GEORGIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1352 EISENHOWER DR
SAVANNAH GA
31406-3902
US

IV. Provider business mailing address

1352 EISENHOWER DR
SAVANNAH GA
31406-3902
US

V. Phone/Fax

Practice location:
  • Phone: 912-612-7223
  • Fax: 912-612-0547
Mailing address:
  • Phone: 912-612-7223
  • Fax: 912-612-0547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE R. MCGOWAN
Title or Position: DIRECTOR OF COMPLIANCE
Credential: RN
Phone: 912-629-1050