Starland Family Practice | |
9100 White Bluff Rd Ste 501 Savannah GA 31406-4672 | |
(912) 800-1017 | |
(877) 836-3638 |
Full Name | Starland Family Practice |
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Speciality | Internal Medicine |
Location | 9100 White Bluff Rd Ste 501, Savannah, Georgia |
Authorized Official Name and Position | Brandon Earehart (CEO) |
Authorized Official Contact | 9128001017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Starland Family Practice 9100 White Bluff Rd Ste 501 Savannah GA 31406-4672 Ph: (912) 800-1017 | Starland Family Practice 9100 White Bluff Rd Ste 501 Savannah GA 31406-4672 Ph: (912) 800-1017 |
NPI Number | 1245720689 |
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Provider Enumeration Date | 05/11/2018 |
Last Update Date | 08/25/2022 |
Medicare PECOS PAC ID | 2264868959 |
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Medicare Enrollment ID | O20200128001102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245720689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Raymond C Martins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730234030 PECOS PAC ID: 8022175504 Enrollment ID: I20200129002641 |
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