PREFERRED VASCULAR SERVICES NORTHWEST, LLC is a vascular surgery surgery in Marietta, 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. PREFERRED VASCULAR SERVICES NORTHWEST, LLC NPI is 1598037822. The provider is registered as an organization entity type and is a multi-specialty group. The provider Former Legal Business Name Is Preferred Vascular Services Of Georgia, Llc.
The provider's business location address is:
711 CANTON RD NE STE 220 MARIETTA, GA ZIP 30060-949 Phone: (404) 554-2196 Fax: (404) 554-2415
The provider's authorized official is Lisa A Mcnamara . The authorized official title is Cfo and has the following contact phone number (239) 597-2010.
The CLIA number assigned to this NPI record is 11D2198332 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2012 and was last updated on 9/6/2022.
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:
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: 3/30/2025
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