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NORTHEAST GEORGIA VASCULAR CENTER NPI 1942553359


NPI Information

NPI: 1942553359
Provider Name: NORTHEAST GEORGIA VASCULAR CENTER

Doing Business As: VASCULAR CLINICS OF NORTHEAST GEORGIA

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
4763 SHIRLEY RD
GAINESVILLE, GA
ZIP 30506
Phone: (770) 535-1948
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NORTHEAST GEORGIA VASCULAR CENTER is a preferred provider organization in Gainesville, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. NORTHEAST GEORGIA VASCULAR CENTER NPI is 1942553359. The provider is registered as an organization entity type.
The provider Is Doing Business As Vascular Clinics Of Northeast Georgia.

The provider's business location address is:

4763 SHIRLEY RD
GAINESVILLE, GA
ZIP 30506-108
Phone: (770) 535-1948
Fax: (770) 535-1488

The provider's authorized official is Michael H Lebow .
The authorized official title is Owner and has the following contact phone number (770) 535-1948.

The enumeration date for this NPI number is 10/23/2012 and was last updated on 2/18/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization61114GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11942553359OTHERGEORGIANPI

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: 5/5/2024

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