Dr. Anthony Vincent Ditaranto
General Practice Physician
118 Enterprise Ct Suite A
Columbus
, Georgia 31904-9229
Dr. Anthony Vincent Ditaranto
General Practice Physician
118 Enterprise Ct Suite A
Columbus
, Georgia 31904-9229
(706) 317-2669
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Anthony Vincent Ditaranto
- 118 Enterprise Ct Suite A
- Columbus, GA
- Zip : 31904-9229
- Fax : (706) 317-2669
- Phone : (706) 317-2226
Second Address
- Dr. Anthony Vincent Ditaranto
- 118 Enterprise Ct Suite A
- Columbus, GA
- Zip : 31904-9229
- Fax : (706) 317-2669
- Phone : (706) 317-2226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 029865 | GA |
National Provider Identifier
| NPI | 1003951591 |
|---|---|
| Provider Name | Dr. Anthony Vincent Ditaranto |
| First Address | Columbus, GA 31904-9229 |
| Second Address | Columbus, GA 31904-9229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 10/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C55718 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.