SURGICAL ASSOCIATES OF VALDOSTA P.C. NPI 1891768917

NPI Information

NPI: 1891768917
Provider Name: SURGICAL ASSOCIATES OF VALDOSTA, P.C.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2704 N OAK ST
BLDG F
VALDOSTA, GA
ZIP 31602
Phone: (229) 242-4996
Get Directions

SURGICAL ASSOCIATES OF VALDOSTA, P.C. is a vascular surgery surgery in Valdosta, 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. SURGICAL ASSOCIATES OF VALDOSTA, P.C. NPI is 1891768917. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2704 N OAK ST
BLDG F
VALDOSTA, GA
ZIP 31602-744
Phone: (229) 242-4996
Fax: (229) 242-2306

The provider's authorized official is David Keith Parker .
The authorized official title is Md/officer and has the following contact phone number (229) 242-4996.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 1/20/2010.

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
1	208600000X	Surgery			GEORGIA	No
2	2086S0129X	Surgery	Vascular Surgery		GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP507	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP ID #
2	=========	OTHER	GEORGIA	EIN

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »