Provider Demographics
NPI:1922000959
Name:OLIVER, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:OLIVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:322 COMMERCIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3639
Mailing Address - Country:US
Mailing Address - Phone:912-355-2335
Mailing Address - Fax:912-355-2301
Practice Address - Street 1:322 COMMERCIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-355-2335
Practice Address - Fax:770-217-3339
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2022-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA38323207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000602588QMedicaid
GA000602588NMedicaid
GA000602588OMedicaid