Provider Demographics
NPI:1558584714
Name:ARNOLD F NEGRIN, MD
Entity Type:Organization
Organization Name:ARNOLD F NEGRIN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-351-0325
Mailing Address - Street 1:PO BOX 14644
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-1644
Mailing Address - Country:US
Mailing Address - Phone:912-351-0325
Mailing Address - Fax:912-351-9986
Practice Address - Street 1:304 COMMERCIAL DR STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3681
Practice Address - Country:US
Practice Address - Phone:912-351-0325
Practice Address - Fax:912-351-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC18345Medicaid
SC18345Medicaid
GRP2828Medicare PIN