Organization · Type 2 NPI

Southcoast Medical Group, LLC

Nephrology Physician · Savannah, GA

NPI number 1861745119 Active

Practice location

1326 Eisenhower Dr
Savannah, GA 31406-3928

Fax (912) 691-4209

Mailing address

PO Box 15849
Savannah, GA 31416-2549

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X020999 (GA)
Internal Medicine Physician 207R00000X038715 (GA)
Nephrology Physician Primary 207RN0300X047425 (GA)
Ophthalmology Physician 207W00000X026247 (GA)
Neurology Physician 2084N0400X064752 (GA)
Diagnostic Radiology Physician 2085R0202X039937 (GA)
Physician Assistant 363A00000X5306 (GA)
Nurse Practitioner 363L00000XRN077768 (GA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1861745119

Southcoast Medical Group, LLC's National Provider Identifier is 1861745119, issued on Oct 24, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Savannah, GA. The record was last updated on Oct 24, 2012.