SOUTHWEST ATLANTA VASCULAR CARE LLC NPI 1861933178

NPI Information

SOUTHWEST ATLANTA VASCULAR CARE, LLC 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. SOUTHWEST ATLANTA VASCULAR CARE, LLC NPI is 1861933178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3885 PRINCETON LAKES WAY SW
SUITE 314
ATLANTA, GA
ZIP 30331-589
Phone: (404) 349-7770
Fax: (404) 349-7778

The provider's authorized official is Lisa Mcnamara .
The authorized official title is Evp and has the following contact phone number (239) 597-2010.

The CLIA number assigned to this NPI record is 11D2129953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

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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