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NPI Code Detail

MEDICARE: SAVANNAH HEALTH CENTER, LLC

MEDICARE: SAVANNAH HEALTH CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorGA5449GA

General Provider Information

NPI Number : 1841544855
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAVANNAH HEALTH CENTER, LLC
Provider Business Mailing Address
First Line : 10 HARRELL DR
Second Line :
City : SAVANNAH
State : GA
Zip : 31408-2005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 HARRELL DR
Second Line :
City : SAVANNAH
State : GA
Zip : 31408-2005
Country : US
Telephone Number : 912-963-6711
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. TODD SUSSMAN
Credential :
Telephone Number : 305-608-9248
Provider Enumeration Date : 10/30/2012
Last Update Date : 10/30/2012

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Directions to “SAVANNAH HEALTH CENTER, LLC ” Practice Location

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