Organization · Type 2 NPI

Effingham Vascular Center, LLC

Vascular Surgery Physician · Rincon, GA

NPI number 1043773161 Active

Practice location

613 Towne Park Dr W Ste 204
Rincon, GA 31326-5183

Call (912) 826-6771 Map

Fax (912) 295-5605

Mailing address

459 Highway 119 South, Attn.: Credentialing
Springfield, GA 31329

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Another provider at this address

Effingham Urology, LLCUrology Physician Rincon, GA NPI 1598220915

NPI record

NPI: 1043773161
Entity type: Organization (Type 2)
Issued: Apr 8, 2019
Last updated: Apr 13, 2020
Status: Active

Other names

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Effingham Vascular Center · doing business as
Effingham Vascular Center · doing business as

Authorized official

Dr. Fran Baker-Witt, RN, MBA, LNHA
CEO
(912) 754-0160

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043773161

Effingham Vascular Center, LLC's National Provider Identifier is 1043773161, issued on Apr 8, 2019. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Rincon, GA. The record was last updated on Apr 13, 2020.