Savannah Skin Pathology LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

64562 Issued in GA

Legal business name

SAVANNAH SKIN PATHOLOGY LLC

Practice address

16 Mulberry Bluff Dr
Savannah, GA 31406-3268

Phone

(706) 799-8598

NPI assigned

Feb 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan K Holland, M.D.

Title

Dermatopathologist/Laboratory Direc

Phone

(706) 799-8598

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1295007185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 HODGSON MEMORIAL DR",
            "address_2": "SUITE 5",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062549",
            "telephone_number": "706-799-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MULBERRY BLUFF DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063268",
            "telephone_number": "706-799-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH SKIN PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DERMATOPATHOLOGIST/LABORATORY DIREC",
        "authorized_official_telephone_number": "706-799-8598",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "64562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.