{"npi":"1124197397","type":"NPI-2","status":"active","name":{"display":"South Georgia Laser Vein Center","other":[],"organization_name":"SOUTH GEORGIA LASER VEIN CENTER","authorised_official":"Robert Cirillo"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"GA","license":"056092"}]},"addresses":[{"purpose":"LOCATION","street_1":"903 S BROAD ST","city":"THOMASVILLE","state":"GA","postal_code":"317926114","country_code":"US","phone":"2295510024","fax":"2295510254"},{"purpose":"MAILING","street_1":"903 S BROAD ST","city":"THOMASVILLE","state":"GA","postal_code":"317926114","country_code":"US","phone":"2295510024","fax":"2295510254"}],"license":{"state":"GA","number":"056092"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-06","last_updated":"2007-08-07","_meta":{"source":"NPPES","snapshot_date":"2007-08-07","doc_url":"https://findmynpi.com/api"}}