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Organization
ONE SOURCE VASCULAR
Active
Organization
ONE SOURCE VASCULAR
Active
Parent organization
ONE SOURCE VASCULAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONE SOURCE VASCULAR
Authorized official
DAVID P MURPHY DPM (MEDICAL DIRECTOR)
(912) 283-6471
Entity
Organization
Contact information
Practice address
2003B ALICE ST, WAYCROSS, GA 31501-6209
(912) 490-9420
(912) 514-9180
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-7596
(912) 283-1618
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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