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METRO VASCULAR P.C. NPI 1891975470


NPI Information

NPI: 1891975470
Provider Name: METRO VASCULAR, P.C.
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
2675 N DECATUR RD STE 210
SUITE 210
DECATUR, GA
ZIP 30033
Phone: (404) 292-5938
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METRO VASCULAR, P.C. is a legal medicine in Decatur, GA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. METRO VASCULAR, P.C. NPI is 1891975470. 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 STE 210
SUITE 210
DECATUR, GA
ZIP 30033-132
Phone: (404) 292-5938

The provider's authorized official is Albert Wildstein, Md .
The authorized official title is Medical Director and has the following contact phone number (404) 292-5938.

The enumeration date for this NPI number is 11/12/2007 and was last updated on 11/20/2007.


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
1173000000XLegal Medicine018771GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP1395MEDICARE PINGEORGIA

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: 11/14/2023

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