# EFFINGHAM VASCULAR CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Effingham Vascular Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043773161
- **Authorized official:** DR. FRAN BAKER-WITT RN, MBA, LNHA (CEO)
- **Authorized official phone:** (912) 754-0160

## Contact information

- **Practice address:** 613 TOWNE PARK DR W STE 204, RINCON, GA 31326-5183
- **Practice address phone:** (912) 826-6771
- **Practice address fax:** (912) 295-5605
- **Mailing address:** 459 HIGHWAY 119 SOUTH, ATTN.: CREDENTIALING, SPRINGFIELD, GA 31329
- **Mailing address phone:** (912) 754-0175
- **Mailing address fax:** (912) 754-2570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 04/13/2020