person
Dr. George S Havrilla, DPM
Primary Podiatric Medicine Podiatrist in Thomson, Georgia
NPI 1306841374

George S Havrilla is a Primary Podiatric Medicine Podiatrist based in Thomson, GA and is specialized in Primary Podiatric Medicine. George S Havrilla practices in Thomson, GA and has the professional credentials of DPM. The NPI Number for George S Havrilla is 1306841374 and holds a License No. 000848 (Georgia).

The current practice location address for George S Havrilla is 544 W Hill St, Thomson, GA and can be reached out via phone at 706-595-8787 and via fax at 706-595-8757.

Location: 544 W Hill St, Thomson, GA, 30824-2117
person
Provider Profile Details
NPI Number
1306841374
Provider Name
George S Havrilla
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
544 W Hill St, Thomson, GA, 30824-2117
Phone Number
706-595-8787
Fax Number
706-595-8757
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5040540001 01 GA DME PROVIDER #
322007 01 GA WELLCARE OF GEORGIA
10581911 01 GA CIGNA
5467067 01 GA AETNA
618552906A 05 GA
10041458 01 GA AMERIGROUP
52773057-003 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
544 W Hill St
City
State
Zip
30824-2117
Phone Number
706-595-8787
Fax Number
706-595-8757
person
Provider Business Mailing Address Details
Address
544 W Hill St
City
State
Zip
30824-2117
Phone Number
706-595-8787
Fax Number
706-595-8757
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
000848 (Georgia)
Definition
Definition to come...
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