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Organization

VICTOR ICU, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVINESH SINGH BHAR JASWINDAR SINGH MD (OWNER/ AUTHORIZED OFFICIAL)
(646) 270-6340
Entity
Organization

Contact information

Practice address
1140 S JACKSON SPRINGS RD, MACON, GA 31211-1439
(646) 270-6340
Mailing address
1140 S JACKSON SPRINGS RD, MACON, GA 31211-1439
(646) 270-6340

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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