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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