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Contact Information

EVAN J VAN PEURSEM, MD
11705 MERCY BLVD
SAVANNAH, GA31419-1711
 Phone: 912-355-7214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EVAN J VAN PEURSEM · (Male)

NPI # 1619363561
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2015
Last updated 05/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 82674
Hospital affiliation(s)
  • CANDLER HOSPITAL - (Acute Care)
    5353 REYNOLDS STREET
    SAVANNAH, GA 31412
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
  • HILTON HEAD REGIONAL MEDICAL CENTER - (Acute Care)
    25 HOSPITAL CENTER BLVD
    HILTON HEAD ISLAND, SC 29925
  • ST JOSEPH'S HOSPITAL - SAVANNAH - (Acute Care)
    11705 MERCY BOULEVARD
    SAVANNAH, GA 31419
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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