Organization
SOUTH GEORGIA VASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEWUS CIRILLO JR. M.D. (MEDICAL DIRECTOR)
(229) 551-0024
Entity
Organization
Contact information
Practice address
903 S BROAD ST, THOMASVILLE, GA 31792-6114
(229) 551-0024
(229) 551-0254
Mailing address
903 S BROAD ST, THOMASVILLE, GA 31792-6114
(229) 551-0024
(229) 551-0254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056092
GA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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