Basilio, Feoderis N

Basilio, Feoderis N is an individual health care provider with primary practice located at 104 14Th St , Columbus GA 31901-2131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Basilio, Feoderis N can be contacted via phone (706) 507-5437.

Contact Information

Primary practice address
104 14Th St Columbus GA 31901-2131
Phone: (706) 507-5437
Fax: (706) 507-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 050092 Georgia

Profile Details

NPI number 1023143393
LBN Legal business name Basilio, Feoderis N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jun 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023143393 NPPES
Georgia Other 000958702A PEACH STATE HEALTH PLAN
Georgia MEDICAID 000958702A PEACH STATE HEALTH PLAN
Georgia Other 52009279 PEACH STATE HEALTH PLAN
Georgia Other 306085 PEACH STATE HEALTH PLAN
Georgia Other 60103339 PEACH STATE HEALTH PLAN

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