Organization · Type 2 NPI
One Source Vascular
Medical Specialty Clinic/Center · Waycross, GA
Practice location
1406 Habersham Dr
Waycross, GA 31501-5306
Mailing address
501 W Oneida St
Waycross, GA 31501-5337
Other practice locations
- 204 E 15th St, Alma, GA 31510-2908 · (912) 632-2952
- 821 S Main St, Baxley, GA 31513-0164 · (912) 705-5483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2 other providers at this address
Other medical specialty clinic/center providers in Waycross
About NPI 1275123671
One Source Vascular's National Provider Identifier is 1275123671, issued on Jan 20, 2021. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Waycross, GA. The record was last updated on Jan 11, 2022.