Basic Information
| Provider Information | |||||||||
| NPI: | 1548357213 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARBER | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 WATERS AVE FL 1 | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123508712 | ||||||||
| FaxNumber: | 9123508753 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 WATERS AVE FL 1 | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123508712 | ||||||||
| FaxNumber: | 9123508753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2006 | ||||||||
| LastUpdateDate: | 02/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | 052936 | GA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 208600000X | 052936 | GA | N | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 3168468 | 01 | GA | CIGNA | OTHER | 52887655-003 | 01 | GA | BCBS GA | OTHER | 10065438 | 01 | GA | AMERIGROUP | OTHER | 52887655-001 | 01 | GA | BCBS GA | OTHER | 845943235D | 05 | GA | MEDICAID | 845943235E | 05 | GA | MEDICAID | 845943235G | 05 | GA | MEDICAID | G52936 | 05 | SC | MEDICAID | P00247251 | 01 | GA | RR MEDICARE | OTHER | P00995512 | 01 | GA | RAILROAD MEDICARE | OTHER | P00679482 | 01 | GA | RR MEDICARE | OTHER | 01366154 | 01 | AMERIGROUP | OTHER | 845943235C | 05 | GA | MEDICAID | 349770 | 01 | GA | WELLCARE | OTHER | 845943235A | 05 | GA | MEDICAID | 52887655-002 | 01 | GA | BCBS GA | OTHER | 845943235B | 05 | GA | MEDICAID | 845943235F | 05 | GA | MEDICAID | 845943235H | 05 | GA | MEDICAID | P00432676 | 01 | SC | RR MEDICARE | OTHER |