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ROSENTHAL CLARK AND MATSURRA NPI 1568670180


NPI Information

NPI: 1568670180
Provider Name: ROSENTHAL, CLARK AND MATSURRA

Other Name: ATLANTA VASCULAR SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
315 BOULEVARD
N.E. 412
ATLANTA, GA
ZIP 30312
Phone: (404) 524-0095
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ROSENTHAL, CLARK AND MATSURRA is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROSENTHAL, CLARK AND MATSURRA NPI is 1568670180. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Atlanta Vascular Specialists.

The provider's business location address is:

315 BOULEVARD
N.E. 412
ATLANTA, GA
ZIP 30312-264
Phone: (404) 524-0095
Fax: (404) 658-9558

The provider's authorized official is Connie Dillard .
The authorized official title is Practice Administrator and has the following contact phone number (404) 524-0095.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/26/2011.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1055001472AMEDICAIDGEORGIA
2GRP3120MEDICARE PINGEORGIA

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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