Provider Information for 1891418034
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ANNA VOLLRATH
Sex: Female
NPI: 1891418034
Last Updated: 2022-09-22
Certification Date: 2022-09-22
Certification Date: 2022-09-22
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891418034 | ||||||||||||||
| Enumeration Date | 2022-09-22 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1122 BRIDGEWATER DR SAVANNAH, GA 31419-5522 United States Phone: 920-946-0581 | Fax: | ||||||||||||||
| Primary Practice Address | 1122 BRIDGEWATER DR SAVANNAH, GA 31419-5522 United States Phone: 920-946-0581 | Fax: | ||||||||||||||
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