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ATLANTA VASCULAR AND VEIN CENTER LLC NPI 1538546114


NPI Information

NPI: 1538546114
Provider Name: ATLANTA VASCULAR AND VEIN CENTER, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
600 PROFESSIONAL DR
SUITE 160A
LAWRENCEVILLE, GA
ZIP 30046
Phone: (973) 632-8372
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ATLANTA VASCULAR AND VEIN CENTER, LLC is a medical specialty clinic center in Lawrenceville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ATLANTA VASCULAR AND VEIN CENTER, LLC NPI is 1538546114. The provider is registered as an organization entity type.

The provider's business location address is:

600 PROFESSIONAL DR
SUITE 160A
LAWRENCEVILLE, GA
ZIP 30046-651
Phone: (973) 632-8372

The provider's authorized official is Amish Tilara .
The authorized official title is President and has the following contact phone number (973) 632-8372.

The enumeration date for this NPI number is 5/2/2015 and was last updated on 8/24/2015.


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
1261QR0200XClinic/CenterRadiologyNo
2261QM2500XClinic/CenterMedical SpecialtyYes

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: 4/28/2024

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