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VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTAL.L.C. NPI 1821108382


NPI Information

NPI: 1821108382
Provider Name: VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2675 N DECATUR RD
SUITE 410
DECATUR, GA
ZIP 30033
Phone: (404) 299-6488
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VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C. is a specialist in Decatur, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VASCULAR MEDICINE AND SURGERY SPECIALIST OF ATLANTA,L.L.C. NPI is 1821108382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2675 N DECATUR RD
SUITE 410
DECATUR, GA
ZIP 30033-131
Phone: (404) 299-6488
Fax: (404) 299-7522

The provider's authorized official is Kellie A Rose .
The authorized official title is Owner/office Manager and has the following contact phone number (404) 299-6488.

The enumeration date for this NPI number is 8/30/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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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