Healthcare Provider Details

I. General information

NPI: 1356757546
Provider Name (Legal Business Name): EAR, NOSE & THROAT ASSOCIATES OF SAVANNAH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 09/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OAK FOREST RD STE B
BLUFFTON SC
29910-4974
US

IV. Provider business mailing address

5201 FREDERICK ST
SAVANNAH GA
31405-4501
US

V. Phone/Fax

Practice location:
  • Phone: 912-351-3030
  • Fax: 912-353-9720
Mailing address:
  • Phone: 912-351-3030
  • Fax: 912-353-9720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: FRED DANIEL
Title or Position: MD
Credential: MD
Phone: 912-351-3030