MEDICARE: SIDNEY R WASHINGTON III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	028667	GA
2	208D00000X	General Practice Physician	28667	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538122478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIDNEY R WASHINGTON III MD

Provider Business Mailing Address
First Line	:	1878 BRANNEN LAKE RD
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-7257
Country	:	US
Telephone Number	:	912-690-2724
Fax Number	:	912-852-2041

Provider Business Practice Location Address
First Line	:	1878 BRANNEN LAKE RD
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-7257
Country	:	US
Telephone Number	:	912-690-2724
Fax Number	:	912-852-2041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	01/23/2014

Similar Medicare Providers

1215891007 — MORGAN BRANNEN
Practice Location Address:

24 JOE KENNEDY BLVD STE 13
STATESBORO, GA
30458-3113

Practice Phone: 912-208-2024
Practice Fax:

1477417269 — COREY MATHEWSON
Practice Location Address:

24 JOE KENNEDY BLVD STE 13
STATESBORO, GA
30458-3113

Practice Phone: 912-208-2024
Practice Fax:

1437021649 — MR. BETHRAND OKAFOR UGWU PA-C
Practice Location Address:

1030 BERMUDA RUN
STATESBORO, GA
30458-0858

Practice Phone: 912-764-8396
Practice Fax: 912-764-7188

1407711732 — RAELEIGH SWINDELL CONNER
Practice Location Address:

122 SOUTH ZETTEROWER AVENUE
STATESBORO, GA
30458

Practice Phone: 912-259-9991
Practice Fax:

1477440592 — DR. STEPHEN MARTIN LLC.
Practice Location Address:

1497 FAIR RD STE 103
STATESBORO, GA
30458-0823

Practice Phone: 912-486-1163
Practice Fax: 912-486-1165

1992298616 — DR. STEPHEN R. MARTIN DO, MPA, MSHSA
Practice Location Address:

1499 FAIR RD. , DEPARTMENT OF WOUND CARE AND HYPERBARIC MEDICINE
STATESBORO, GA
30458

Practice Phone: 912-486-1163
Practice Fax: 970-660-0912

Directions to “ SIDNEY R WASHINGTON III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.