Stack, Andrew Phillip

Stack, Andrew Phillip is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Stack, Andrew Phillip can be contacted via phone (912) 350-8180.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-8180
Fax: (912) 350-5697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 071886 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 071886 Georgia

Profile Details

NPI number 1902063407
LBN Legal business name Stack, Andrew Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Jan 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902063407 NPPES
Georgia MEDICAID 003146322A
Georgia Other P01335436

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