Doctor Name: | DR. MARTIN EDWARD EVERHARD |
NPI Number: | 1891812616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036150 |
Business Practice Address: | 340 Eisenhower Dr Suite 1305 Savannah, GA - 314061600 |
Business Phone Number: | 9123555460 |
Business Fax Number: | 9123554868 |
Mailing Address: | 8 Tarrow Ridge Rd, SAVANNAH |
State: | GA |
Postal Code: | 314113048 |
Phone Number: | 9125981926 |
Fax Number: | 9125988231 |
NPI Enumeration Date: | 03/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 036150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |