Individual
IGOR ANCOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 HUXFORD ST, HOMERVILLE, GA 31634
(912) 470-2273
Mailing address
PO BOX 298, HOMERVILLE, GA 31634-0298
(912) 470-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83426
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2017
Last updated
07/22/2019
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