Judy, James C

Judy, James C is an individual health care provider with primary practice located at 230 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Judy, James C can be contacted via phone (912) 790-4000.

Contact Information

Primary practice address
230 E Derenne Ave Savannah GA 31405-6736
Fax: (912) 790-4407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 013051 Georgia

Profile Details

NPI number 1861458440
LBN Legal business name Judy, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Nov 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861458440 NPPES
Georgia MEDICAID 000058132E

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