Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 039910 | GA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 39910 | GA |
NPI | 1740281161 |
---|---|
Provider Name | Dr. Stephen Perry Rashleigh |
First Address | Savannah, GA 31405-4501 |
Second Address | Savannah, GA 31405-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 01/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00668962 | (05) | GA |
F84996 | (02) |