Individual
ANTHONY J AVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 WATERS AVE, SUITE 500, SAVANNAH, GA 31404-6200
(912) 350-5961
(912) 350-5942
Mailing address
PO BOX 116336, ATLANTA, GA 30368-6336
(912) 352-8346
(912) 355-1414
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
047185
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000823567C
—
GA
05
—
000823567R
—
GA
05
—
00823567A
—
GA
05
—
G47185
—
SC
Enumeration date
06/20/2006
Last updated
09/13/2022
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