Organization · Type 2 NPI
South Georgia Vascular Institute
Specialist · Thomasville, GA
NPI number
1609062215
Active
Practice location
903 S Broad St
Thomasville, GA 31792-6114
Fax (229) 551-0254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 056092 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1609062215
South Georgia Vascular Institute's National Provider Identifier is 1609062215, issued on Sep 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thomasville, GA. The record was last updated on Sep 18, 2007.