person
Dr. Wigberto Vivas, MD
General Practice Physician in Milledgeville, Georgia
NPI 1740462399

Wigberto Vivas is a General Practice Physician based in Milledgeville, GA. Wigberto Vivas practices in Milledgeville, GA and has the professional credentials of MD. The NPI Number for Wigberto Vivas is 1740462399 and holds a License No. 022662 (Georgia).

The current practice location address for Wigberto Vivas is 620 Broad St, Milledgeville, GA and can be reached out via phone at 478-445-4128.

Location: 620 Broad St, Milledgeville, GA, 31062-7525
person
Provider Profile Details
NPI Number
1740462399
Provider Name
Wigberto Vivas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 Broad St, Milledgeville, GA, 31062-7525
Phone Number
478-445-4128
Fax Number
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 Broad St
City
State
Zip
31062-7525
Phone Number
478-445-4128
Fax Number
person
Provider Business Mailing Address Details
Address
620 Broad St
City
State
Zip
31062-7525
Phone Number
478-445-4128
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
022662 (Georgia)
Definition
Definition to come...
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