Provider Demographics
NPI:1710966866
Name:SEARLES, JOHN M JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:SEARLES
Suffix:JR
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 1:10 WILLIAM POPE DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7549
Mailing Address - Country:US
Mailing Address - Phone:843-842-2020
Mailing Address - Fax:843-705-1512
Practice Address - Street 1:900 MOHAWK ST STE E
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:912-925-0067
Practice Address - Fax:126-629-0280
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA288862086S0122X
SC376442086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC376444Medicaid
SCSC5157E499OtherMEDICARE PTAN
SCP01512717OtherRAILROAD MEDICARE
GA202I248316Medicaid
IAI15058Medicare PIN
SC376444Medicaid
SCP01512717OtherRAILROAD MEDICARE