AVVC MEDICAL LLC NPI 1720512635

NPI Information

NPI: 1720512635
Provider Name: AVVC MEDICAL, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
600 PROFESSIONAL DR
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 878-4555
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AVVC MEDICAL, LLC is a radiology clinic center in Lawrenceville, GA. AVVC MEDICAL, LLC NPI is 1720512635. The provider is registered as an organization entity type.

The provider's business location address is:

600 PROFESSIONAL DR
LAWRENCEVILLE, GA
ZIP 30046-651
Phone: (678) 878-4555

The provider's authorized official is Amish Tilara .
The authorized official title is President and has the following contact phone number (678) 878-4555.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/18/2017.

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
1	261QR0200X	Clinic/Center	Radiology			Yes

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

NPI Synchronization or Removal

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