| Joseph W Dehaven Md Pc | |
|
7001 Hodgson Memorial Dr St 2 Savannah GA 31406-2549 | |
| (912) 355-1437 | |
| (912) 353-8374 |
| Full Name | Joseph W Dehaven Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7001 Hodgson Memorial Dr, Savannah, Georgia |
| Authorized Official Name and Position | Joseph W Dehaven (PRESIDENT) |
| Authorized Official Contact | 9123551437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W Dehaven Md Pc 7001 Hodgson Memorial Dr St 2 Savannah GA 31406-2549 Ph: (912) 355-1437 | Joseph W Dehaven Md Pc 7001 Hodgson Memorial Dr St 2 Savannah GA 31406-2549 Ph: (912) 355-1437 |
| NPI Number | 1689666075 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800885815 |
|---|---|
| Medicare Enrollment ID | O20040506000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689666075 | NPI | - | NPPES |
| 00187195A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 20687 (Georgia) | Primary |
| Provider Name | Joseph W Dehaven |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326106857 PECOS PAC ID: 9133254592 Enrollment ID: I20100324000371 |
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