Mandel, Jeffrey Samuel
Mandel, Jeffrey Samuel is an individual health care provider with primary practice located at 1326 Eisenhower Dr Bldg 2 , Savannah GA 31406-3928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mandel, Jeffrey Samuel can be contacted via phone (912) 354-6303.Contact Information
Primary practice address
1326 Eisenhower Dr Bldg 2
Savannah GA 31406-3928
Phone: (912) 354-6303
Fax: (912) 355-8655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 054646 | Georgia |
Profile Details
| NPI number | 1134128853 |
|---|---|
| LBN Legal business name | Mandel, Jeffrey Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Sep 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134128853 | NPPES |
| Georgia | MEDICAID | 650814017A | |
| Georgia | Other | 853523 | |
| Georgia | Other | P00157243 | |
| Georgia | MEDICAID | 186202 |
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