Organization
SOUTHERN VASCULAR SPECIAISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT I RICHARDSON M.D. (OWNER/MD)
(229) 224-4858
Entity
Organization
Contact information
Practice address
505 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 224-4858
Mailing address
505 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 224-4858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
055328
GA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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