| Savannah Endocrinology Llc | |
|
107 Southern Blvd # 103 Savannah GA 31405-7437 | |
| (912) 232-5900 | |
| (912) 244-6744 |
| Full Name | Savannah Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 Southern Blvd # 103, Savannah, Georgia |
| Authorized Official Name and Position | Ismary Ojeda De Castro (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9123445037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savannah Endocrinology Llc 107 Southern Blvd # 103 Savannah GA 31405-7437 Ph: (912) 232-5900 | Savannah Endocrinology Llc 107 Southern Blvd # 103 Savannah GA 31405-7437 Ph: (912) 232-5900 |
| NPI Number | 1205509858 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 7719376037 |
|---|---|
| Medicare Enrollment ID | O20211108001398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205509858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ismary Ojeda Decastro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962697730 PECOS PAC ID: 6507035961 Enrollment ID: I20120508000017 |
| Provider Name | Analicia Elaina Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841874252 PECOS PAC ID: 7416335336 Enrollment ID: I20220606002205 |
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