Provider Demographics
NPI:1700511243
Name:PRECISION CARE SERVICES
Entity Type:Organization
Organization Name:PRECISION CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PULMONOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ADEWUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNTUNMIBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-354-7679
Mailing Address - Street 1:312 MALL BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4724
Mailing Address - Country:US
Mailing Address - Phone:912-631-3200
Mailing Address - Fax:
Practice Address - Street 1:312 MALL BLVD FL 2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4724
Practice Address - Country:US
Practice Address - Phone:912-631-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health