Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 80591 | GA |
NPI | 1013257344 |
---|---|
Provider Name | Dr. Stephanie Denise Tootle |
First Address | Savannah, GA 31410-1264 |
Second Address | Savannah, GA 31410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2013 |
Last Update Date | 15/06/2018 |