| Marshside Medical, Llc | |
|
6510 Seawright Dr Savannah GA 31406-2752 | |
| (800) 622-7269 | |
| Not Available |
| Full Name | Marshside Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6510 Seawright Dr, Savannah, Georgia |
| Authorized Official Name and Position | Walter Bowden (OWNER) |
| Authorized Official Contact | 9124386175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshside Medical, Llc 1 Diamond Cswy Ste 21 Savannah GA 31406-7436 Ph: (912) 438-6175 | Marshside Medical, Llc 6510 Seawright Dr Savannah GA 31406-2752 Ph: (800) 622-7269 |
| NPI Number | 1437776184 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 7214350057 |
|---|---|
| Medicare Enrollment ID | O20200713000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437776184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Walter Blun Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336466366 PECOS PAC ID: 1456595651 Enrollment ID: I20160808002753 |
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