Individual
ANTONIO R SISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 NORMAN DORMINY DR STE C, FITZGERALD, GA 31750-8855
(229) 423-5843
(229) 423-9847
Mailing address
119 NORMAN DORMINY DR STE C, FITZGERALD, GA 31750-8855
(229) 423-5843
(229) 423-9847
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02BDJLF
MEDICARE
GA
05
—
284021398B
—
GA
Enumeration date
11/15/2005
Last updated
03/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us