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Organization
VASCULAR ACCESS CENTER OF WARNER ROBINS LLC
Active
Organization
VASCULAR ACCESS CENTER OF WARNER ROBINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERICK MCGUCKIN JR. MD (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
516 S HOUSTON LAKE RD, SUITE 100, WARNER ROBINS, GA 31088-6308
(478) 225-4480
(478) 225-4481
Mailing address
PO BOX 38574, PHILADELPHIA, PA 19104-8574
(215) 382-3680
(215) 382-3683
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
061301
GA
Other
Enumeration date
07/21/2008
Last updated
08/11/2009
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