Provider Demographics
NPI:1063560134
Name:HABERMAN, GEORGE GILBERT (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GILBERT
Last Name:HABERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 ABERCORN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-8138
Mailing Address - Country:US
Mailing Address - Phone:912-232-5169
Mailing Address - Fax:912-232-0048
Practice Address - Street 1:1903 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-8138
Practice Address - Country:US
Practice Address - Phone:912-232-5169
Practice Address - Fax:912-232-0048
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA121672083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine