Moon, Davis Sungwhan
Moon, Davis Sungwhan is an sole proprietor health care provider with primary practice located at 4750 Waters Ave Ste 500 , Savannah GA 31404-6261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moon, Davis Sungwhan can be contacted via phone (912) 352-8346.Contact Information
Primary practice address
4750 Waters Ave Ste 500
Savannah GA 31404-6261
Phone: (912) 352-8346
Fax: (912) 355-5515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 84913 | South Carolina |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 74207 | Georgia |
Profile Details
NPI number | 1043455306 |
---|---|
LBN Legal business name | Moon, Davis Sungwhan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2008 |
Last updated | Sep 13th, 2022 - about 2 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 | 1043455306 | NPPES |
Georgia | MEDICAID | 003223457H | |
Georgia | MEDICAID | 003223457A |
Popular Providers
-
Uribe, Alexander
100 E Lancaster Ave Ste 222 , Wynnewood PA 19096 -
Patel, Sheela Thakor
1 Shrader St Ste 600, San Francisco CA 94117-1018 -
London, Jeremy E
11700 Mercy Blvd. Plaza D Suite A, Savannah GA 31419 -
Ball, Stephen K
1600 Sw Archer Rd , Gainesville FL 32610-4563 -
Hunt, Peter James
11909 Mcauley Drive Suite 100 A2, Savannah GA 31419 -
Hales, Jennifer Ann
11909 Mcauley Dr Ste 1002A , Savannah GA 31419-1793 -
Brown, Justin B
4750 Waters Ave Ste 500 , Savannah GA 31404 -
Conlon, Kristy Michelle
11909 Mcauley Drive Bldg 100 A2, Savannah GA 31419