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CENTER FOR VASCULAR MEDICINE AL LLC NPI 1518552447


NPI Information

NPI: 1518552447
Provider Name: CENTER FOR VASCULAR MEDICINE AL LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3280 ROSS CLARK CIR
DOTHAN, AL
ZIP 36303
Phone: (301) 486-4690
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CENTER FOR VASCULAR MEDICINE AL LLC is a vascular surgery surgery in Dothan, AL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CENTER FOR VASCULAR MEDICINE AL LLC NPI is 1518552447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3280 ROSS CLARK CIR
DOTHAN, AL
ZIP 36303-040
Phone: (301) 486-4690
Fax: (301) 441-8809

The provider's authorized official is Richard Kennedy .
The authorized official title is Chief Executive Officer and has the following contact phone number (301) 982-2000.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 3/3/2021.


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
1174400000XSpecialistNo
22086S0129XSurgeryVascular 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.