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 |
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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 |
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Provider Enumeration Date | 2005-11-15 |
Last Updated Date | 2010-03-23 |
Provider Mailing Address Detail
Address | 119 Norman Dorminy Dr Ste C |
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City | Fitzgerald |
State | Georgia (GA) |
Post Code | 317508855 |
Phone Number | 2294235843 |
Fax Number | 2294239847 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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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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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.