London, Jeremy E

London, Jeremy E is an individual health care provider with primary practice located at 11700 Mercy Blvd. Plaza D Suite A, Savannah GA 31419. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. London, Jeremy E can be contacted via phone (912) 819-0500.

Contact Information

Primary practice address
11700 Mercy Blvd. Plaza D Suite A Savannah GA 31419
Phone: (912) 819-0500
Fax: (912) 819-0501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 050403 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 050403 Georgia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 050403 Georgia

Profile Details

NPI number 1699770446
LBN Legal business name London, Jeremy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 21st, 2022 - about 3 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 1699770446 NPPES
Georgia MEDICAID 000921401E
Georgia MEDICAID 000921401H
Georgia MEDICAID 000921401F
Georgia MEDICAID 000921401G
Georgia MEDICAID G22407

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