| Doctor Name: | DR. GEORGE S HAVRILLA |
| NPI Number: | 1306841374 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 000848 |
| Business Practice Address: | 544 W Hill St Thomson, GA - 308242117 |
| Business Phone Number: | 7065958787 |
| Business Fax Number: | 7065958757 |
| Mailing Address: | 544 W Hill St, THOMSON |
| State: | GA |
| Postal Code: | 308242117 |
| Phone Number: | 7065958787 |
| Fax Number: | 7065958757 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/18/2006 |
| NPI Reactivation Date: | 03/24/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 000848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |