Provider Demographics
NPI:1154837508
Name:SAVANNAH MEDICAL LLC
Entity Type:Organization
Organization Name:SAVANNAH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEHTAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-236-0482
Mailing Address - Street 1:13051 ABERCORN ST STE B3
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1916
Mailing Address - Country:US
Mailing Address - Phone:470-236-0482
Mailing Address - Fax:
Practice Address - Street 1:13051 ABERCORN ST STE B3
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1916
Practice Address - Country:US
Practice Address - Phone:470-236-0482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies