Individual
DR. ISAAC VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
233 N HOUSTON RD STE 140A, WARNER ROBINS, GA 31093
(478) 923-2843
(478) 975-6766
Mailing address
1601 WATSON BLVD, ATTN: DECISION SUPPORT/PROVIDER ENROLLMENT, WARNER ROBINS, GA 31093-3431
(478) 922-4281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
073867
GA
207Q00000X
Family Medicine Physician
UO3275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161121A
—
GA
Enumeration date
07/02/2014
Last updated
11/12/2023
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