National Provider Identifier Database

ONE SOURCE VASCULAR
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ONE SOURCE VASCULAR
2003B ALICE ST
WAYCROSS, GA31501-6209
Phone: 912-490-9420
Fax: 912-514-9180
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for ONE SOURCE VASCULAR

NPI Number 1386433258
Legal business name
LBN
ONE SOURCE VASCULAR
Authorized official DAVID MURPHY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/06/2025
Last updated 05/06/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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