South Georgia Vascular Institute in Thomasville - Specialist

South Georgia Vascular Institute - NPI 1609062215

South Georgia Vascular Institute is a Specialist in Thomasville, Georgia. South Georgia Vascular Institute practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Georgia Vascular Institute is 1609062215. The last update date is 2007-09-18.

South Georgia Vascular Institute's current location address is 903 S Broad St, Thomasville, Georgia. You can contact this provider via phone number 2295510024 and fax number 2295510254. The mailing address for South Georgia Vascular Institute is 903 S Broad St, Thomasville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Georgia Vascular Institute
Address 903 S Broad St, Thomasville, Georgia
Phone Number 2295510024
Fax Number 2295510254
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Cirillo Lewus Robert
Credentials M.D.
Telephone Number 2295510024

NPI Number Detail

NPI Number 1609062215
Provider Enumeration Date 2007-09-18
Last Updated Date 2007-09-18

Provider Mailing Address Detail

Address 903 S Broad St
City Thomasville
State Georgia (GA)
Post Code 317926114
Phone Number 2295510024
Fax Number 2295510254

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 56092
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about South Georgia Vascular Institute

What is the unique 10-digit identification code issued to South Georgia Vascular Institute by the Centers for Medicare & Medicaid Services?

The South Georgia Vascular Institute has been assigned the NPI (National Provider Identifier) 1609062215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where South Georgia Vascular Institute's facilities are situated?

The facilities of South Georgia Vascular Institute are physically located at the following address: 903 S Broad St, Thomasville, GA, 317926114.

What is South Georgia Vascular Institute's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The South Georgia Vascular Institute's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the South Georgia Vascular Institute receive its 1609062215?

The South Georgia Vascular Institute was issued its 1609062215 on 2007-09-18, which is the date when the organization was assigned this unique identifier.

When was the information regarding South Georgia Vascular Institute most recently updated?

The details pertaining to the South Georgia Vascular Institute, including its address, specialty, and other relevant information, were last refreshed on 2007-09-18.

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