Organization · Type 2 NPI
One Source Vascular
Medical Specialty Clinic/Center · Waycross, GA
Practice location
2003B Alice St
Waycross, GA 31501-6209
Fax (912) 514-9180
Mailing address
501 W Oneida St
Waycross, GA 31501-5337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| 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).
Other medical specialty clinic/center providers in Waycross
About NPI 1386433258
One Source Vascular's National Provider Identifier is 1386433258, issued on May 6, 2025. 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 May 6, 2025.