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Contact Information

MARY C LYTLE, MD
4700 WATERS AVE
SAVANNAH, GA31404-6220
 Phone: 912-350-8180
 Fax: 912-350-7221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARY C LYTLE · (Female)

NPI Number 1790720290
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2006
Last updated 01/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 056132
  • GA Medicaid 511379152A
  • SC Medicaid G56132
  • GA Other 10065021 AMERIGROUP
  • GA Other 52172893-002 BCBS GA
  • GA Other 349798 WELLCARE
Hospital affiliation(s) Not Available
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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