| NAME |
SAVANNAH OPC-CHARLESTON |
| STATE |
GEORGIA |
| STREET ADDR. 1 |
1170 SHAWNEE STREET |
| CITY |
SAVANNAH |
| ZIP |
31419-1618 |
| OFFICIAL VA NAME |
SAVANNAH PRIMARY CARE CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SAVANNAH VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1851339451
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
534BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1851339451
-
- CODING SYSTEM: VASTANUM
- ID: 534BY
-
- CODING SYSTEM: CLIA
- ID: 11D1039076
|
