Provider Demographics
NPI:1457717654
Name:SAVANNAH NATURAL HEALTH CLINIC LLC
Entity Type:Organization
Organization Name:SAVANNAH NATURAL HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATURAL HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:FERRANTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-272-8381
Mailing Address - Street 1:2016 DODGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1419
Mailing Address - Country:US
Mailing Address - Phone:912-272-8381
Mailing Address - Fax:
Practice Address - Street 1:2016 DODGE AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1419
Practice Address - Country:US
Practice Address - Phone:912-272-8381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251300000XAgenciesLocal Education Agency (LEA)
No251E00000XAgenciesHome Health