Memorial Physicians Group INC

NPI #1013377530 in Savannah, Georgia

Provider Information

NPI Number: 1013377530
Entity Type: Organization
Organization Name: Memorial Physicians Group INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 4731 WATERS AVE
City: Savannah
State: Georgia
ZIP Code: 31404-6219
Phone: (912) 350-4905

Authorized Official

Name: SEBRENA HOLMES GIBSON
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine	2080P0203X
Pediatrics - Pediatric Endocrinology — Pediatric Endocrinology	2080P0205X
Pediatrics - Pediatric Hematology-Oncology — Pediatric Hematology-Oncology	2080P0207X
Physical Medicine & Rehabilitation	208100000X
Surgery	208600000X
Colon & Rectal Surgery	208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Family Medicine	207Q00000X	Primary

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