=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306808191
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN S. SARZIER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2006
-----------------------------------------------------
Last Update Date | 03/09/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1146 E.G. MILES PKWY SUITE 102
-----------------------------------------------------
City | HINESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31313-4514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-877-4400
-----------------------------------------------------
Fax | 912-877-4404
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 460 MALL BLVD STE B
-----------------------------------------------------
City | SAVANNAH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31406-4801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-644-5300
-----------------------------------------------------
Fax | 912-644-5260
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207T00000X
-----------------------------------------------------
Taxonomy Name | Neurological Surgery Physician
-----------------------------------------------------
License Number | ME 73178
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------