Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | BS4509975 | VA |
Y | 208600000X | Surgeon | BS4509975 | VA |
NPI | 1003850223 |
---|---|
Provider Name | Jeannie Savas |
First Address | Richmond, VA 23249 |
Second Address | Richmond, VA 23249 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G07921 | (02) | VA |