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General NPI Number Information
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NPI Number | 1992730907
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Entity Type | Organization
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Legal Business Name | SAVANNAH CARDIOLOGY, PC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 8 HOSPITAL CENTER BLVD STE 130
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-8700
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Country | US
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Telephone | 843-682-2740
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Fax | 843-682-2815
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Provider Business Mailing Address
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Address Line | 6301 ABERCORN ST
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City | SAVANNAH
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State | GA
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Zip | 31405-5701
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Country | US
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Telephone | 912-352-8700
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Fax | 912-650-6805
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Authorized Official
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Title or Position | CEO
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Name | DR. RANDY K BOTTNER
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Credential | MD
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Telephone | 843-682-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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