UNIVERSITY VASCULAR SPECIALIST INC. NPI 1104051754

NPI Information

NPI: 1104051754
Provider Name: UNIVERSITY VASCULAR SPECIALIST, INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
818 SAINT SEBASTIAN WAY
SUITE 408
AUGUSTA, GA
ZIP 30901
Phone: (706) 722-2334
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UNIVERSITY VASCULAR SPECIALIST, INC. is a vascular surgery surgery in Augusta, 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. UNIVERSITY VASCULAR SPECIALIST, INC. NPI is 1104051754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

818 SAINT SEBASTIAN WAY
SUITE 408
AUGUSTA, GA
ZIP 30901-651
Phone: (706) 722-2334
Fax: (706) 724-8495

The provider's authorized official is Robert Ralph Mendes .
The authorized official title is Partner and has the following contact phone number (706) 722-2334.

The enumeration date for this NPI number is 5/27/2009 and was last updated on 5/27/2009.

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	2086S0129X	Surgery	Vascular Surgery			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

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