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Organization
ONE SOURCE VASCULAR
Active
Organization
ONE SOURCE VASCULAR
Active
Parent organization
BACON COUNTY HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACON COUNTY HEALTH SERVICES, INC
Authorized official
DAVID P MURPHY DPM (MANAGER)
(912) 283-6471
Entity
Organization
Contact information
Practice address
1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
(912) 490-9420
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-7596
(912) 283-1618
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/20/2021
Last updated
01/11/2022
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