| Doctor Name: | SIDNEY R WASHINGTON |
| NPI Number: | 1538122478 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 28667 |
| Business Practice Address: | 1878 Brannen Lake Rd Statesboro, GA - 304587257 |
| Business Phone Number: | 9126902724 |
| Business Fax Number: | 9128522041 |
| Mailing Address: | 1878 Brannen Lake Rd, STATESBORO |
| State: | GA |
| Postal Code: | 304587257 |
| Phone Number: | 9126902724 |
| Fax Number: | 9128522041 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 01/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 28667 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |