GEORIA VASCULAR SURGERY PC NPI 1619036928

NPI Information

GEORIA VASCULAR SURGERY PC is a vascular surgery surgery in Atlanta, 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. GEORIA VASCULAR SURGERY PC NPI is 1619036928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1718 PEACHTREE ST NW
SUITE 260
ATLANTA, GA
ZIP 30309-452
Phone: (404) 350-9505
Fax: (404) 350-1611

The provider's authorized official is Laverne W Poindexter .
The authorized official title is Executive Administrator and has the following contact phone number (770) 270-5229.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

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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