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Jeffshan John Ponnarasu
Medical Physician Assistant in Savannah, Georgia
NPI 1003677220

Jeffshan John Ponnarasu is a Medical Physician Assistant based in Savannah, GA and is specialized in Medical. Jeffshan John Ponnarasu practices in Savannah, GA. The NPI Number for Jeffshan John Ponnarasu is 1003677220 and holds a License No. (Georgia).

The current practice location address for Jeffshan John Ponnarasu is 709 Mall Blvd, Savannah, GA and can be reached out via phone at 912-201-8000.

Location: 709 Mall Blvd, Savannah, GA, 31406-4805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003677220
Provider Name
Jeffshan John Ponnarasu
Credential
Provider Entity Type
Individual
Gender
Male
Address
709 Mall Blvd, Savannah, GA, 31406-4805
Phone Number
912-201-8000
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
709 Mall Blvd
City
Savannah
State
Georgia
Zip
31406-4805
Phone Number
912-201-8000
Fax Number
person
Provider Business Mailing Address Details
Address
709 Mall Blvd
City
Savannah
State
Georgia
Zip
31406-4805
Phone Number
912-201-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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