Antonio R Sison, MD is a
Surgery physician based in Fitzgerald, Georgia. Antonio R Sison is licensed to practice in Georgia (license number 053172) and his current practice location is 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 423-5843.
NPI number for Antonio R Sison is 1922080100 and his current mailing address is 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922080100.
Physician's Profile
Full Name | Antonio R Sison |
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Gender | Male |
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Speciality | Surgery |
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Location | 119 Norman Dorminy Dr Ste C, Fitzgerald, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922080100
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 03/23/2010
Medical Identifiers
Medical identifiers for Antonio R Sison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922080100 | NPI | - | NPPES |
284021398B | Medicaid | GA | |
02BDJLF | Other | GA | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 053172 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonio R Sison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Antonio R Sison, MD 119 Norman Dorminy Dr Ste C, Fitzgerald, GA 31750-8855 Ph: (229) 423-5843 | Antonio R Sison, MD 119 Norman Dorminy Dr Ste C, Fitzgerald, GA 31750-8855 Ph: (229) 423-5843 |
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