| Mhup - Eisenhower Medical Associates | |
|
340 Eisenhower Dr 1200 Savannah GA 31406-1600 | |
| (912) 443-4200 | |
| (912) 355-8124 |
| Full Name | Mhup - Eisenhower Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 Eisenhower Dr, Savannah, Georgia |
| Authorized Official Name and Position | Robin J. Maddox (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9123509335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhup - Eisenhower Medical Associates Po Box 102032 Mhup - Eisenhower Medical Associates Atlanta GA 30368-2032 Ph: (912) 443-4200 | Mhup - Eisenhower Medical Associates 340 Eisenhower Dr 1200 Savannah GA 31406-1600 Ph: (912) 443-4200 |
| NPI Number | 1639339252 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639339252 | NPI | - | NPPES |
| GPA968 | Medicaid | SC |
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