SOUTH GEORGIA LASER VEIN CENTER
NPI 1124197397
Specialist in Thomasville, GA

Q: What is South Georgia Laser Vein Center's NPI number?

The NPI number for South Georgia Laser Vein Center is 1124197397. It was assigned to this organization in the NPPES registry on November 6, 2006.

Q: What is South Georgia Laser Vein Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 06, 2006

903 S BROAD ST, THOMASVILLE, GA 31792(229) 551-0024(229) 551-0254 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Georgia Laser Vein Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH GEORGIA LASER VEIN CENTER (NPI 1124197397) is a healthcare organization registered as a specialist in Thomasville, Georgia and active in the NPI registry since November 2006. The organization lists Robert L Cirillo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124197397

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH GEORGIA LASER VEIN CENTER

Location Address903 S BROAD STThomasville, GA 31792-6114

Mailing Address903 S Broad StThomasville, GA 31792-6114 · (229) 551-0024 · Fax (229) 551-0254

Phone(229) 551-0024

Fax(229) 551-0254

Organization SubpartNo

Authorized OfficialRobert L CirilloMedical Director · (229) 551-0024

Enumeration DateNovember 6, 2006

Last NPPES UpdateAugust 7, 2007

✔ NPI 1124197397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 056092

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

903 S BROAD ST, Thomasville, GA 31792

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH GEORGIA VASCULAR INSTITUTE

Specialist

903 S BROAD ST
THOMASVILLE, GA 31792

Thomas County (229) 551-0024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Georgia Laser Vein Center's NPI number?

The NPI number for South Georgia Laser Vein Center is 1124197397. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is South Georgia Laser Vein Center located?

South Georgia Laser Vein Center is located at 903 S Broad St, Thomasville, GA 31792. The listed phone number is (229) 551-0024.

What is South Georgia Laser Vein Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Georgia Laser Vein Center was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.