Vein Center Of Georgia At Saint Joseph'S, LLC
in Atlanta, GA. Organization (NPI-2).
NPI number1174802003
StatusActive
Last updated in NPPESAug 9, 2011
Details
- NPI
- 1174802003
- Entity type
- Organization (NPI-2)
- Legal business name
- Vein Center Of Georgia At Saint Joseph'S, LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2011
- Last updated
- Aug 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
5669 Peachtree Dunwoody Rd NeSuite 155
Atlanta, GA 30342-1786
Phone 404-246-0404 · Fax 404-847-0423
Mailing address
1838 American WayLawrenceville, GA 30043-6611
Phone 770-995-7622 · Fax 770-995-7854
Authorized official
Ronald D Reed
Vice President
6788435773
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