# ONE SOURCE VASCULAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BACON COUNTY HEALTH SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275123671
- **Legal business name:** BACON COUNTY HEALTH SERVICES, INC
- **Authorized official:** DAVID P MURPHY DPM (MANAGER)
- **Authorized official phone:** (912) 283-6471

## Contact information

- **Practice address:** 1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
- **Practice address phone:** (912) 490-9420
- **Mailing address:** 501 W ONEIDA ST, WAYCROSS, GA 31501-5337
- **Mailing address phone:** (912) 283-7596
- **Mailing address fax:** (912) 283-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 01/11/2022