ADVANCED VASCULAR AND VEIN PC NPI 1043174857

NPI Information

  • NPI: 1043174857
  • Provider Name: ADVANCED VASCULAR AND VEIN, PC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 2711 IRVIN WAY STE 101
    DECATUR, GA
    ZIP 30030
  • Phone: (678) 344-8900

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NPI Details

ADVANCED VASCULAR AND VEIN, PC is a vascular and interventional radiology radiology in Decatur, 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. ADVANCED VASCULAR AND VEIN, PC NPI is 1043174857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2711 IRVIN WAY STE 101
DECATUR, GA
ZIP 30030-405
Phone: (678) 344-8900
Fax: (678) 666-5201

The provider's authorized official is Bradley White .
The authorized official title is Owner and has the following contact phone number (239) 223-9105.

The enumeration date for this NPI number is 12/15/2025 and was last updated on 12/15/2025.

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 RadiologyYes

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: 11/21/2025

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