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Organization

EFFINGHAM VASCULAR CENTER, LLC

Active
Other names
Effingham Vascular Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRAN BAKER-WITT RN, MBA, LNHA (CEO)
(912) 754-0160
Entity
Organization

Contact information

Practice address
613 TOWNE PARK DR W STE 204, RINCON, GA 31326-5183
(912) 826-6771
(912) 295-5605
Mailing address
459 HIGHWAY 119 SOUTH, ATTN.: CREDENTIALING, SPRINGFIELD, GA 31329
(912) 754-0175
(912) 754-2570

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
04/08/2019
Last updated
04/13/2020
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