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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1134128853 NPPES
Georgia MEDICAID 650814017A
Georgia Other 853523
Georgia Other P00157243
Georgia MEDICAID 186202

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