Provider Demographics
NPI:1073254363
Name:GRUNHARD, SAVANNAH DANIELLE (MD)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:DANIELLE
Last Name:GRUNHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 INTERCHANGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-7664
Mailing Address - Country:US
Mailing Address - Phone:912-527-5301
Mailing Address - Fax:912-756-4740
Practice Address - Street 1:89 INTERCHANGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7664
Practice Address - Country:US
Practice Address - Phone:912-527-5301
Practice Address - Fax:912-756-4740
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA102946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine