| Stephen M Herman MD, LLC | |
|
130 Tibet Ave Suite 206 Savannah GA 31406-9028 | |
| (912) 777-8454 | |
| (912) 525-3212 |
| Full Name | Stephen M Herman MD, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Tibet Ave, Savannah, Georgia |
| Authorized Official Name and Position | Stephen M Herman (OWNER) |
| Authorized Official Contact | 9127778454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Herman MD, LLC 130 Tibet Ave Suite 206 Savannah GA 31406-9028 Ph: (912) 777-8454 | Stephen M Herman MD, LLC 130 Tibet Ave Suite 206 Savannah GA 31406-9028 Ph: (912) 777-8454 |
| NPI Number | 1154791994 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Medicare PECOS PAC ID | 1658689773 |
|---|---|
| Medicare Enrollment ID | O20151008002573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154791994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
| Provider Name | Christopher J Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306845458 PECOS PAC ID: 2668542580 Enrollment ID: I20080604000546 |
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