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PREFERRED VASCULAR SERVICES NORTHEAST NPI 1780184218


NPI Information

NPI: 1780184218
Provider Name: PREFERRED VASCULAR SERVICES NORTHEAST
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 10D2065782

Address:
1 DUNWOODY PARK STE 140
ATLANTA, GA
ZIP 30338
Phone: (404) 554-2080
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PREFERRED VASCULAR SERVICES NORTHEAST is a vascular surgery surgery in Atlanta, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PREFERRED VASCULAR SERVICES NORTHEAST NPI is 1780184218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 DUNWOODY PARK STE 140
ATLANTA, GA
ZIP 30338-708
Phone: (404) 554-2080
Fax: (404) 554-8021

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

The CLIA number assigned to this NPI record is 10D2065782 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 9/6/2022.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22086S0129XSurgeryVascular SurgeryYes

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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