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General NPI Number Information
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NPI Number | 1801977434
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Entity Type | Organization
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Legal Business Name | SAVANNAH SURGICAL CENTER PLLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255C WAYNE ROAD
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City | SAVANNAH
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State | TN
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Zip | 38372
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Country | US
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Telephone | 731-925-6662
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Fax | 731-925-9514
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | SAVANNAH
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State | TN
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Zip | 38372
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Country | US
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Telephone | 731-925-6662
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Fax | 731-925-9514
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Authorized Official
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Title or Position | CEO
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Name | CHADWICK PARRISH SMITH
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Credential | MD
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Telephone | 731-925-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD 40449
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License Number State | TN
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