ADVANCED VASCULAR AND VEIN ASSOCIATES LLC NPI 1275205809

NPI Information

ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC is a vascular surgery surgery in Flowood, MS. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC NPI is 1275205809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4436 MANGUM DR
FLOWOOD, MS
ZIP 39232-113
Phone: (601) 919-0972

The provider's authorized official is Lachelle Griffin .
The authorized official title is Credentialing Manager and has the following contact phone number (769) 208-4437.

The CLIA number assigned to this NPI record is 25D2250603 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 2/7/2024.

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:

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