-- FEODERIS N BASILIO -- MD
Individual Provider (NPI-1)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1023143393- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 104 14TH ST, COLUMBUS, GA, 319012131
- Phone
- (706) 507-5437
- Fax
- (706) 507-5499
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
Primary License: GA #050092