Provider Demographics
NPI:1588056873
Name:SPINECENTERSAVANNAH, LLC
Entity type:Organization
Organization Name:SPINECENTERSAVANNAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC & SPINE SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAPPUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-351-5812
Mailing Address - Street 1:11909 MCAULEY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1793
Mailing Address - Country:US
Mailing Address - Phone:912-417-3050
Mailing Address - Fax:912-925-3659
Practice Address - Street 1:1266 W PACES FERRY RD NW
Practice Address - Street 2:BOX 437
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2306
Practice Address - Country:US
Practice Address - Phone:404-351-5812
Practice Address - Fax:678-608-3217
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPAEDIC & SPINE SURGERY OF ATLANTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA29604207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty