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NPI Code Detail

MEDICARE: MIDDLE GEORGIA VASCULAR SURGERY CENTER LLC

MEDICARE: MIDDLE GEORGIA VASCULAR SURGERY CENTER LLC
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
12086S0129XVascular Surgery Physician

General Provider Information

NPI Number : 1992251037
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDDLE GEORGIA VASCULAR SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 1025 N HOUSTON RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31093-1505
Country : US
Telephone Number : 478-238-5513
Fax Number :
Provider Business Practice Location Address
First Line : 1025 N HOUSTON RD
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31093-1505
Country : US
Telephone Number : 478-238-5513
Fax Number :
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : ALLISON B BURKETT
Credential : MD
Telephone Number : 478-238-5513
Provider Enumeration Date : 08/29/2016
Last Update Date : 05/04/2026

Similar Medicare Providers

1780861146 — ALLISON B BURKETT MD
Practice Location Address:
1025 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-238-5513
Practice Fax:
1376513960 — KATHY D GRUBE WHNP
Practice Location Address:
1025 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-922-9136
Practice Fax: 478-923-6846
1376514158 — MRS. JULIE HOOKS CONWAY NURSE PRACTITIONER
Practice Location Address:
1025 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-922-9136
Practice Fax: 478-923-6846
1871567693 — WILLIAM EUGENE WILLIAMS LCSW
Practice Location Address:
1047 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-923-3762
Practice Fax: 478-923-0362
1679530638 — SANTANU DAS M.D.
Practice Location Address:
1049 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-922-9001
Practice Fax: 478-329-8619
1902863970 — THEKKEPAT G. SEKHAR M.D.
Practice Location Address:
1021 N HOUSTON RD
WARNER ROBINS, GA
31093-1505
Practice Phone: 478-922-9944
Practice Fax: 478-922-3255

Directions to “MIDDLE GEORGIA VASCULAR SURGERY CENTER LLC ” Practice Location

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