| Philip Todaro, D.o., P.c. | |
|
1516 E Evans St Bainbridge GA 39819-4363 | |
| (229) 246-4888 | |
| (229) 246-4881 |
| Full Name | Philip Todaro, D.o., P.c. |
|---|---|
| Speciality | General Practice |
| Location | 1516 E Evans St, Bainbridge, Georgia |
| Authorized Official Name and Position | Philip Todaro (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 2292464888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Todaro, D.o., P.c. 1516 E Evans St Bainbridge GA 39819-4363 Ph: (229) 246-4888 | Philip Todaro, D.o., P.c. 1516 E Evans St Bainbridge GA 39819-4363 Ph: (229) 246-4888 |
| NPI Number | 1700064482 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064482 | NPI | - | NPPES |
| 000024527A | Medicaid | GA | |
| 1659384816 | Other | GA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 015330 (Georgia) | Primary |
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