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GOLDEN ISLES VEIN INSTITUTE PC NPI 1548367089


NPI Information

NPI: 1548367089
Provider Name: GOLDEN ISLES VEIN INSTITUTE PC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
1015 ARTHUR J MOORE DR
ISLAND HEALTH MEDICAL PARK
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 638-0411
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GOLDEN ISLES VEIN INSTITUTE PC is a vascular and interventional radiology radiology in St Simons Island, GA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. GOLDEN ISLES VEIN INSTITUTE PC NPI is 1548367089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1015 ARTHUR J MOORE DR
ISLAND HEALTH MEDICAL PARK
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 638-0411

The provider's authorized official is Terry L Reynolds .
The authorized official title is President and has the following contact phone number (912) 638-0411.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyGEORGIAYes
22085U0001XRadiologyDiagnostic UltrasoundGEORGIAX

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: 5/5/2024

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