EFFINGHAM VASCULAR CENTER LLC NPI 1043773161

NPI Information

  • NPI: 1043773161
  • Provider Name: EFFINGHAM VASCULAR CENTER, LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: EFFINGHAM VASCULAR CENTER
  • Address: 613 TOWNE PARK DR W STE 204
    RINCON, GA
    ZIP 31326
  • Phone: (912) 826-6771

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NPI Details

EFFINGHAM VASCULAR CENTER, LLC is a vascular surgery surgery in Rincon, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. EFFINGHAM VASCULAR CENTER, LLC NPI is 1043773161. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Effingham Vascular Center.

The provider's business location address is:

613 TOWNE PARK DR W STE 204
RINCON, GA
ZIP 31326-183
Phone: (912) 826-6771
Fax: (912) 295-5605

The provider's authorized official is Fran Baker-witt .
The authorized official title is Ceo and has the following contact phone number (912) 754-0160.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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