North Atlanta Vascular Clinic, PC
in Suwanee, GA. Organization (NPI-2).
NPI number1619987682
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1619987682
- Entity type
- Organization (NPI-2)
- Legal business name
- North Atlanta Vascular Clinic, PC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2006
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 058235 | GA | Yes |
Practice location
2685 Peachtree Pkwy Ste 320Suwanee, GA 30024-1048
Phone 770-771-5269 · Fax 770-771-5269
Mailing address
2685 Peachtree Pkwy Ste 320Suwanee, GA 30024-1048
Phone 770-771-5269 · Fax 770-771-5269
Authorized official
Uthan Vivek
Owner/Physician
7707715260
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