Provider Demographics
NPI:1710916333
Name:FLANDERS, HUGH DORSEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:DORSEY
Last Name:FLANDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL ARTS CTR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4414
Mailing Address - Country:US
Mailing Address - Phone:912-354-2915
Mailing Address - Fax:912-354-9640
Practice Address - Street 1:602 E 72ND ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4913
Practice Address - Country:US
Practice Address - Phone:912-819-7878
Practice Address - Fax:912-819-7850
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015208208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
202I027810Medicare PIN
GA02BBCHXMedicare ID - Type Unspecified
GA00116663DMedicaid