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Individual

GEORGE PETER PIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1620
(912) 871-2423
Mailing address
P.O. BOX 3578, AUGUSTA, GA 30914-3578
(706) 737-4575
(706) 731-5289

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
28860
GA
2085N0700X
Neuroradiology Physician
28860
GA
2085N0904X
Nuclear Radiology Physician
28860
GA
2085P0229X
Pediatric Radiology Physician
28860
GA
2085R0202X
Diagnostic Radiology Physician
Primary
28860
GA
2085R0203X
Therapeutic Radiology Physician
28860
GA
2085R0204X
Vascular & Interventional Radiology Physician
28860
GA
2085U0001X
Diagnostic Ultrasound Physician
28860
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000330701C
GA
05
00330701A
GA
01
023579
BLUE CROSS
GA
05
G28860
SC
Enumeration date
09/07/2005
Last updated
06/02/2011
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