# ANTHONY J AVINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649216649
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 047185 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000823567C | — | GA |
| 05 | — | 000823567R | — | GA |
| 05 | — | 00823567A | — | GA |
| 05 | — | G47185 | — | SC |