Organization
ONE SOURCE VASCULAR
Active
Parent organization
BACON COUNTY HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACON COUNTY HEALTH SERVICES, INC
Authorized official
DAVID P MURPHY DPM (MANAGER)
(912) 283-6471
Entity
Organization
Contact information
Practice address
1406 HABERSHAM DR, WAYCROSS, GA 31501-5306
(912) 490-9420
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-7596
(912) 283-1618
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/11/2022
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