Ms. Savannah Waddy
Oral and Maxillofacial Pathology
520 E Carson Plaza Ct 101
Carson
, California 90746-3289
Ms. Savannah Waddy
Oral and Maxillofacial Pathology
520 E Carson Plaza Ct 101
Carson
, California 90746-3289
(310) 323-4548
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Ms. Savannah Waddy
- 520 E Carson Plaza Ct 101
- Carson, CA
- Zip : 90746-3289
- Fax : (310) 323-4548
- Phone : (310) 323-4543
Second Address
- Ms. Savannah Waddy
- 520 E Carson Plaza Ct 101
- Carson, CA
- Zip : 90746-3289
- Fax : (310) 323-4548
- Phone : (310) 323-4543
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | D31136 | CA |
National Provider Identifier
| NPI | 1598758427 |
|---|---|
| Provider Name | Ms. Savannah Waddy |
| First Address | Carson, CA 90746-3289 |
| Second Address | Carson, CA 90746-3289 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 508101 | (05) | CA |
| D3113601 | (05) | CA |
| T70470 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.