Organization
PHILIP TODARO, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP TODARO D.O. (PRESIDENT/PHYSICIAN)
(229) 246-4888
Entity
Organization
Contact information
Practice address
1516 E EVANS ST, BAINBRIDGE, GA 39819-4363
(229) 246-4888
(229) 246-4881
Mailing address
1516 E EVANS ST, BAINBRIDGE, GA 39819-4363
(229) 246-4888
(229) 246-4881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
015330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000024527A
—
GA
01
—
1659384816
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
02/05/2008
Last updated
06/02/2008
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