VICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC NPI 1851424378

NPI Information

VICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC is a vascular surgery surgery in Athens, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VICTORY VASCULAR & GENERAL SURGERY OF GEORGIA PC NPI is 1851424378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 HAWTHORNE AVE
#600
ATHENS, GA
ZIP 30606-574
Phone: (706) 227-0871
Fax: (706) 227-0865

The provider's authorized official is Azeez Popoola Adeduntan .
The authorized official title is President and has the following contact phone number (706) 227-0871.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 1/24/2013.

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:

Other Identifiers

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