Provider Demographics
NPI:1548357213
Name:GARBER, JAMES C (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:GARBER
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 1:4700 WATERS AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-350-8712
Mailing Address - Fax:912-350-8753
Practice Address - Street 1:4700 WATERS AVE FL 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-8712
Practice Address - Fax:912-350-8753
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0529362086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA3168468OtherCIGNA
GA52887655-003OtherBCBS GA
GA10065438OtherAMERIGROUP
GA52887655-001OtherBCBS GA
GA845943235DMedicaid
GA845943235EMedicaid
GA845943235GMedicaid
SCG52936Medicaid
GAP00247251OtherRR MEDICARE
GAP00995512OtherRAILROAD MEDICARE
GAP00679482OtherRR MEDICARE
01366154OtherAMERIGROUP
GA845943235CMedicaid
GA349770OtherWELLCARE
GA845943235AMedicaid
GA52887655-002OtherBCBS GA
GA845943235BMedicaid
GA845943235FMedicaid
GA845943235HMedicaid
SCP00432676OtherRR MEDICARE
GA845943235EMedicaid
GA511I910008Medicare PIN
SCP00432676OtherRR MEDICARE
GA845943235HMedicaid
GA845943235CMedicaid