Healthcare Provider Details

I. General information

NPI: 1568904134
Provider Name (Legal Business Name): SAVANAH RAE SONGER CPM LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2016
Last Update Date: 11/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 OLD CAVE SPRING RD
CAVE SPRING VA
24018-3417
US

IV. Provider business mailing address

4240 OLD CAVE SPRING RD
CAVE SPRING VA
24018-3417
US

V. Phone/Fax

Practice location:
  • Phone: 540-339-2841
  • Fax: 540-301-1768
Mailing address:
  • Phone: 540-339-2841
  • Fax: 540-301-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0129000121
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: