Provider Demographics
NPI:1669534855
Name:KIDNEY SPECIALISTS OF SAVANNAH, P. C.
Entity type:Organization
Organization Name:KIDNEY SPECIALISTS OF SAVANNAH, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-356-5643
Mailing Address - Street 1:500 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4339
Mailing Address - Country:US
Mailing Address - Phone:912-356-5643
Mailing Address - Fax:912-356-9712
Practice Address - Street 1:500 E 66TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4339
Practice Address - Country:US
Practice Address - Phone:912-356-5643
Practice Address - Fax:912-356-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty