One Source Vascular

LBN: One Source Vascular
One Source Vascular is an health care organization with primary practice located at 1406 Habersham Dr , Waycross GA 31501-5306. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. One Source Vascular can be contacted via phone (912) 490-9420, or through Murphy, David P via phone (912) 283-6471.

Contact Information

Primary practice address
1406 Habersham Dr Waycross GA 31501-5306
Phone: (912) 490-9420
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Murphy, David P Doctor of Podiatric Medicine (DPM)
Phone: (912) 283-6471

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1275123671
LBN Legal business name One Source Vascular
DBA Doing business as
Authorized official Murphy, David P Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 20th, 2021
Last updated Jan 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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