Provider Demographics
NPI:1962680017
Name:SAVANNAH HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SAVANNAH HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-217-9421
Mailing Address - Street 1:613 STEPHENSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5986
Mailing Address - Country:US
Mailing Address - Phone:912-352-9606
Mailing Address - Fax:912-352-9609
Practice Address - Street 1:613 STEPHENSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5986
Practice Address - Country:US
Practice Address - Phone:912-352-9606
Practice Address - Fax:912-352-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6057580001Medicare NSC