SOUTHERN VASCULAR SPECIALISTS LLC NPI 1194277210

NPI Information

  • NPI: 1194277210
  • Provider Name: SOUTHERN VASCULAR SPECIALISTS LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 505 GORDON AVE
    THOMASVILLE, GA
    ZIP 31792
  • Phone: (229) 224-4858

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NPI Details

SOUTHERN VASCULAR SPECIALISTS LLC is a vascular surgery surgery in Thomasville, 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. SOUTHERN VASCULAR SPECIALISTS LLC NPI is 1194277210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 GORDON AVE
THOMASVILLE, GA
ZIP 31792-645
Phone: (229) 224-4858

The provider's authorized official is Albert Isaac Richardson .
The authorized official title is Owner and has the following contact phone number (229) 224-4858.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.

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 Surgery055328GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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