# VASCULAR ACCESS CENTER OF WARNER ROBINS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447415393
- **Authorized official:** DR. JAMES FREDERICK MCGUCKIN JR. MD (CEO)
- **Authorized official phone:** (215) 382-3680

## Contact information

- **Practice address:** 516 S HOUSTON LAKE RD, SUITE 100, WARNER ROBINS, GA 31088-6308
- **Practice address phone:** (478) 225-4480
- **Practice address fax:** (478) 225-4481
- **Mailing address:** PO BOX 38574, PHILADELPHIA, PA 19104-8574
- **Mailing address phone:** (215) 382-3680
- **Mailing address fax:** (215) 382-3683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 061301 | GA | Yes |

## Other

- **Enumeration date:** 07/21/2008
- **Last updated:** 08/11/2009