Roth, Richard Stat

Roth, Richard Stat is an individual health care provider with primary practice located at 100 Eddie Jungemann Drive, Suite B , Savannah GA 31408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Roth, Richard Stat can be contacted via phone (912) 964-7684.

Contact Information

Primary practice address
100 Eddie Jungemann Drive, Suite B Savannah GA 31408
Phone: (912) 964-7684
Fax: (912) 354-9365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036446 Georgia

Profile Details

NPI number 1972502581
LBN Legal business name Roth, Richard Stat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 28th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972502581 NPPES
Georgia MEDICAID 000532441E
Georgia Other 440003516
Georgia Other 454524
Georgia MEDICAID G36446

Popular Providers