Organization Name: | FIRST CHOICE WELLNESS AND PHYSICAL MEDICINE |
NPI Number: | 1174705073 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA BOHNSTENGEL (PHYSICIAN) |
Mailing Address: | 132 Stephenson Ave Ste 102 Savannah |
State: | GA US |
Postal Code: | 314055829 |
Phone Number: | 9123544004 |
Fax Number: | 9123544009 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 02/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 038692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |