SOUTHWEST ATLANTA VASCULAR CARE LLC NPI 1295256295

NPI Information

NPI: 1295256295
Provider Name: SOUTHWEST ATLANTA VASCULAR CARE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3885 PRINCETON LAKES WAY SW STE 314
ATLANTA, GA
ZIP 30331
Phone: (404) 349-7770
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SOUTHWEST ATLANTA VASCULAR CARE, LLC is an ambulatory surgical clinic center in Atlanta, GA. SOUTHWEST ATLANTA VASCULAR CARE, LLC NPI is 1295256295. The provider is registered as an organization entity type.

The provider's business location address is:

3885 PRINCETON LAKES WAY SW STE 314
ATLANTA, GA
ZIP 30331-100
Phone: (404) 349-7770
Fax: (404) 349-7770

The provider's authorized official is Lisa Mcnamara .
The authorized official title is Evp and has the following contact phone number (239) 597-2010.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 6/29/2017.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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