Stillwagon, Jason C

Stillwagon, Jason C is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stillwagon, Jason C can be contacted via phone (912) 350-3849.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-3849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53181 Georgia

Profile Details

NPI number 1750335063
LBN Legal business name Stillwagon, Jason C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 12th, 2024 - about 5 months 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 1750335063 NPPES
Georgia MEDICAID 603351017A
Georgia Other N365315
Georgia Other 851205
Georgia Other 10064509
Georgia MEDICAID G53181
Georgia Other 603351017A
Georgia MEDICAID G35774

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