| Organization Name: | PHILIP TODARO, D.O., P.C. |
| NPI Number: | 1700064482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP TODARO (PRESIDENT/PHYSICIAN) |
| Mailing Address: | 1516 E Evans St Bainbridge |
| State: | GA US |
| Postal Code: | 398194363 |
| Phone Number: | 2292464888 |
| Fax Number: | 2292464881 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 015330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |