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One Source Vascular
Medical Specialty Clinic/Center in Waycross, Georgia
NPI 1275123671

One Source Vascular is a Medical Specialty Clinic/Center based in Waycross, GA and is specialized in Medical Specialty. One Source Vascular practices in Waycross, GA. The NPI Number for One Source Vascular is 1275123671 and holds a License No. (Georgia).

The current practice location address for One Source Vascular is 1406 Habersham Dr, Waycross, GA and can be reached out via phone at 912-490-9420.

Location: 1406 Habersham Dr, Waycross, GA, 31501-5337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275123671
Provider Name
One Source Vascular
Credential
Provider Entity Type
Organization
Address
1406 Habersham Dr, Waycross, GA, 31501-5337
Phone Number
912-490-9420
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1406 Habersham Dr
City
Waycross
State
Georgia
Zip
31501-5306
Phone Number
912-490-9420
Fax Number
person
Provider Business Mailing Address Details
Address
1406 Habersham Dr
City
Waycross
State
Georgia
Zip
31501-5306
Phone Number
912-490-9420
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
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).
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