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GEORGIA VASCULAR INSTITUTE LLC NPI 1912136524


NPI Information

NPI: 1912136524
Provider Name: GEORGIA VASCULAR INSTITUTE, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 11D2228711

Address:
3886 PRINCETON LAKES WAY SW STE 100
ATLANTA, GA
ZIP 30331
Phone: (770) 506-4007
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GEORGIA VASCULAR INSTITUTE, LLC is a vascular and interventional radiology radiology in Atlanta, GA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. GEORGIA VASCULAR INSTITUTE, LLC NPI is 1912136524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3886 PRINCETON LAKES WAY SW STE 100
ATLANTA, GA
ZIP 30331-511
Phone: (770) 506-4007
Fax: (678) 623-3543

The provider's authorized official is Holly Farrow .
The authorized official title is Coo and has the following contact phone number (770) 506-4007.

The CLIA number assigned to this NPI record is 11D2228711 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 12/16/2021.


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
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.