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Feoderis N Basilio, MD
Pediatric Adolescent Medicine Physician in Columbus, Georgia
NPI 1023143393

Feoderis N Basilio is a Pediatric Adolescent Medicine Physician based in Columbus, GA and is specialized in Adolescent Medicine. Feoderis N Basilio practices in Columbus, GA and has the professional credentials of MD. The NPI Number for Feoderis N Basilio is 1023143393 and holds a License No. 050092 (Georgia).

The current practice location address for Feoderis N Basilio is 104 14Th St, Columbus, GA and can be reached out via phone at 706-507-5437 and via fax at 706-507-5499.

Location: 104 14Th St, Columbus, GA, 31901-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023143393
Provider Name
Feoderis N Basilio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
104 14Th St, Columbus, GA, 31901-2131
Phone Number
706-507-5437
Fax Number
706-507-5499
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000958702A 01 GA PEACH STATE HEALTH PLAN
000958702A 05 GA
52009279 01 GA BCBS GA
306085 01 GA WELLCARE
60103339 01 AL BCBS AL
institution
Provider Business Practice Location Address Details
Address
104 14Th St
City
Columbus
State
Georgia
Zip
31901-2131
Phone Number
706-507-5437
Fax Number
706-507-5499
person
Provider Business Mailing Address Details
Address
104 14Th St
City
Columbus
State
Georgia
Zip
31901-2131
Phone Number
706-507-5437
Fax Number
706-507-5499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
050092 (Georgia)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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