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Contact Information

RTR MEDICAL GROUP LLC
11700-3 MERCY BLVD
SAVANNAH, GA31419
 Phone: 912-927-8887
 Fax: 912-927-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RTR MEDICAL GROUP LLC

NPI Number 1083828024
LBN Legal business name RTR MEDICAL GROUP LLC
Authorized official TIMOTHY SAK - (DIR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 05/01/2013 - About 13 years ago
Identifiers
GA License # 037050
GA License # 037918
GA Medicaid 000542132D
GA Medicaid 000585758B
GA Other DA5173 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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