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GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S LLC NPI 1023397213


NPI Information

NPI: 1023397213
Provider Name: GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5671 PEACHTREE DUNWOODY RD NE
SUITE 250
ATLANTA, GA
ZIP 30342
Phone: (404) 256-0170
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GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC is a vascular surgery surgery in Atlanta, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC NPI is 1023397213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5671 PEACHTREE DUNWOODY RD NE
SUITE 250
ATLANTA, GA
ZIP 30342-000
Phone: (404) 256-0170
Fax: (404) 256-2998

The provider's authorized official is Ronald D Reed .
The authorized official title is Vice President and has the following contact phone number (678) 843-5773.

The enumeration date for this NPI number is 8/5/2011 and was last updated on 8/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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