Antonio R Sison in Fitzgerald - Surgery

Antonio R Sison - NPI 1922080100

Antonio R Sison is a Surgery in Fitzgerald, Georgia. Antonio R Sison practices all healthcare services and medical treatments related to Surgery. The NPI Number for Antonio R Sison is 1922080100. The last update date is 2010-03-23.

Antonio R Sison's current location address is 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia. You can contact this provider via phone number 2294235843 and fax number 2294239847. The mailing address for Antonio R Sison is 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Antonio R Sison
Address 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia
Phone Number 2294235843
Fax Number 2294239847
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1922080100
Provider Enumeration Date 2005-11-15
Last Updated Date 2010-03-23

Provider Mailing Address Detail

Address 119 Norman Dorminy Dr Ste C
City Fitzgerald
State Georgia (GA)
Post Code 317508855
Phone Number 2294235843
Fax Number 2294239847

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 53172
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
284021398B GA --
02BDJLF GA MEDICARE

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FAQs about Antonio R Sison

What is the unique 10-digit identifier code issued to Antonio R Sison by the Centers for Medicare & Medicaid Services?

The Antonio R Sison has been assigned the NPI (National Provider Identifier) 1922080100 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Antonio R Sison located?

The Antonio R Sison is located at 119 Norman Dorminy Dr Ste C, Fitzgerald, GA 317508855.

What is Antonio R Sison's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Antonio R Sison is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

On what date was the 1922080100 assigned to Antonio R Sison?

The Antonio R Sison was issued its 1922080100 on 2005-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Antonio R Sison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Antonio R Sison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-23.

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