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VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S LLC NPI 1174802003


NPI Information

NPI: 1174802003
Provider Name: VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5669 PEACHTREE DUNWOODY RD NE
SUITE 155
ATLANTA, GA
ZIP 30342
Phone: (404) 246-0404
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VEIN CENTER OF GEORGIA 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. VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S, LLC NPI is 1174802003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5669 PEACHTREE DUNWOODY RD NE
SUITE 155
ATLANTA, GA
ZIP 30342-786
Phone: (404) 246-0404
Fax: (404) 847-0423

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 8/9/2011 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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