Provider Demographics
NPI:1003816208
Name:GEORGESCU, FLORIN C (M D)
Entity Type:Individual
Prefix:
First Name:FLORIN
Middle Name:C
Last Name:GEORGESCU
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22848
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31403-2848
Mailing Address - Country:US
Mailing Address - Phone:912-356-5643
Mailing Address - Fax:912-356-9712
Practice Address - Street 1:500 E 66TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4339
Practice Address - Country:US
Practice Address - Phone:912-356-5643
Practice Address - Fax:912-356-9712
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056065207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I131735Medicare UPIN
39BDCLFMedicare ID - Type Unspecified