Savage-Pedigo, Diane R

Savage-Pedigo, Diane R is an individual health care provider with primary practice located at 4600 Waters Ave Suite 100, Savannah GA 31404-6702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Savage-Pedigo, Diane R can be contacted via phone (912) 355-2462.

Contact Information

Primary practice address
4600 Waters Ave Suite 100 Savannah GA 31404-6702
Phone: (912) 355-2462
Fax: (912) 353-1836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 032043 Georgia

Profile Details

NPI number 1205820040
LBN Legal business name Savage-Pedigo, Diane R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820040 NPPES
Georgia Other 58-1102392 TAX ID #
Georgia Other G32043 TAX ID #
Georgia MEDICAID 000400815A TAX ID #
Georgia Other 032043 TAX ID #

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