Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 038323 | GA |
NPI | 1922000959 |
---|---|
Provider Name | Dr. David S Oliver |
First Address | Savannah, GA 31406-3639 |
Second Address | Savannah, GA 31406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 13/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000602588O | (05) | GA |
F80077 | (02) |